Samantha Desimone
Pharmacist in Audubon, New Jersey
1023611746- Practice location
- 130 Black Horse Pike, Audubon, NJ 08106-1960
- Phone
- 856-310-1519
- Fax
- —
- Last updated
- November 17, 2020
Samantha Desimone is a Pharmacist based in Audubon, NJ. Samantha Desimone practices in Audubon, NJ. The NPI Number for Samantha Desimone is 1023611746 and holds a License No. 28RI03700700 (NJ). The current practice location address for Samantha Desimone is 130 Black Horse Pike, Audubon, NJ 08106-1960 and can be reached out via phone at 856-310-1519.
Provider Profile Details
- NPI Number
- 1023611746
- Provider Name
- Samantha Desimone
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 130 Black Horse Pike, Audubon, NJ 08106-1960
- Phone Number
- 856-310-1519
- Primary Taxonomy
- Pharmacist · 183500000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 17, 2020
- Last Update Date
- November 17, 2020
- Certification Date
- November 17, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 130 Black Horse Pike
Audubon, NJ 08106-1960 - City
- Audubon
- State
- New Jersey
- Zip
- 08106-1960
- Phone Number
- 856-310-1519
Provider Business Mailing Address Details
- Address
- 206 Ferrell RD
Mullica Hill, NJ 08062-4514 - City
- Mullica Hill
- State
- NJ
- Zip
- 08062-4514
License Information
- License Number
- 28RI03700700
- License State
- NJ
- Taxonomy
- Pharmacist · 183500000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacists near Audubon, NJ
View all Pharmacists in Audubon →Frequently Asked Questions
What is the NPI number of Samantha Desimone?
The NPI number of Samantha Desimone is 1023611746. It was assigned on November 17, 2020 and is currently active in the NPPES registry.
What is the specialty of Samantha Desimone?
Samantha Desimone is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in NJ under license number 28RI03700700.
Where does Samantha Desimone practice?
The practice location is 130 Black Horse Pike, Audubon, NJ 08106-1960. The office can be reached at 856-310-1519 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023611746 directly on the NPPES registry website.