Active NPI
Samuel Curtis Simmons, RPH
- Pharmacist
- Virginia Beach, VA
National Provider Identifier
1972564649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202001811
- Practice address
- 1550 Tomcat Blvd
Virginia Beach, VA 23460-2218 - Phone
- (757) 314-7015
- NPI assigned
- Mar 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202001811 | VA | Primary |
Addresses
Primary practice location
1550 Tomcat Blvd
Virginia Beach, VA 23460-2218
Mailing address
4717 Chalfont Dr
Virginia Beach, VA 23464-3327
Phone (757) 467-9408
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202001811 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972564649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4717 CHALFONT DR",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234643327",
"telephone_number": "757-467-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 TOMCAT BLVD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234602218",
"telephone_number": "757-314-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "SAMUEL",
"middle_name": "CURTIS",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202001811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Virginia Beach, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.