Individual provider Active NPI

Samuel Tyler Plumer, PHARMD

  • Pharmacist
  • Durham, NC
National Provider Identifier
1952081978
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
32389 Issued in NC
Practice address
2010 Sedwick Rd
Durham, NC 27713-4452
Phone
(919) 544-5807
NPI assigned
Jul 24, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 32389 NC Primary

Addresses

Primary practice location

2010 Sedwick Rd
Durham, NC 27713-4452

Mailing address

10108 Spring Meadow Dr
Chapel Hill, NC 27517-9088
Phone (765) 480-7029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
32389NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina CVS Pharmacy LLC PastSince Jul 31, 2023 Accepting new patients
North Carolina CVS Pharmacy, L.L.C. PastSince Jul 31, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1952081978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10108 SPRING MEADOW DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275179088",
            "telephone_number": "765-480-7029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 SEDWICK RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134452",
            "telephone_number": "919-544-5807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLUMER",
        "first_name": "SAMUEL",
        "middle_name": "TYLER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "32389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.