ANGELLA SAMSON (NPI# 1043817463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043817463 |
| Entity Type | Individual |
| Full Name | ANGELLA SAMSON |
| Practice Address |
1346 Granville Payne Ave Brooklyn NY 11239-2103 |
| Mailing Address |
3320 Avenue R Brooklyn NY 11234-4434 |
| Practice Telephone | 7186422727 |
| Mailing Telephone | 7188665119 |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
067200 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYSED LICENSE NUMBER | 067200 | 01 |
| Street Address |
1346 GRANVILLE PAYNE AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11239-2103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851999072 | Tracy Carlene George | Pharmacist | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508486259 | Nicole Shari Clarke | Registered Nurse | 185 Arzly Loop, Brooklyn, NY 11239 | 2020-04-23 |
| 1760922348 | Justin Hinds | Licensed Practical Nurse | 1280 Croton Loop Apt. 5g, Brooklyn, NY 11239 | 2017-03-02 |
| 1003293119 | Nichole Atterbury | Licensed Practical Nurse | 200 Bethel Loop Apt11c, Brooklyn, NY 11239 | 2015-04-28 |
| 1770836983 | Micheline Mesidor | Early Intervention Provider Agency | 1201 Pennsylvania Avenue 15 H, Brooklyn, NY 11239 | 2012-10-25 |
| 1336498427 | Samuel Omotoye | Registered Nurse | 1425 Pennsylvanie Avenue, Apt. 16f, Brooklyn, NY 11239 | 2012-09-05 |
| 1659681179 | Leonida Sentillas Griffith | Occupational Therapy Assistant | 1155 Pennsylvania Avenue, Apartment 16d, Brooklyn, NY 11239 | 2010-10-18 |
| 1578887717 | Gail Marie Swayne | Speech-Language Pathologist | 562 Lousiana Avenue, Brooklyn, NY 11239 | 2010-03-17 |
| 1376626994 | Priscila Siagan Zabala | Internal Medicine | 614 Louisiana Ave, Suite I, Brooklyn, NY 11239 | 2006-10-24 |
| 1053402370 | Nabil Raoof | Pediatrics | 1390 Pennsylvania Avenue, Brooklyn, NY 11239 | 2006-09-28 |
| 1306892070 | Willoughby Rehabilitation and Health Care Center LLC | Skilled Nursing Facility | 660 Louisiana Avenue, Brooklyn, NY 11239 | 2006-05-25 |
| Find all providers in zip 11239 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841890878 | Corner Pharmacy Myrtle | Pharmacy | 680 Myrtle Ave, Brooklyn, NY 11205-4119 | 2020-10-28 |
| 1124627302 | Elite Pharmacy Inc. | Pharmacy | 614a Grand St, Brooklyn, NY 11211-4802 | 2020-10-20 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 1649885047 | Tree of Life Rx Inc | Pharmacy | 2472 Coney Island Ave, Brooklyn, NY 11223-5022 | 2020-09-11 |
| 1083227235 | Premium Health Inc | Pharmacy | 4510 16th Ave Fl 3, Brooklyn, NY 11204-1101 | 2020-08-27 |
| 1518579952 | Nostrand Drugs Rx Inc | Pharmacy | 385 Nostrand Ave, Brooklyn, NY 11216-1701 | 2020-08-18 |
| 1134738115 | Utica Express Pharmacy Inc | Pharmacy | 190 Utica Ave, Brooklyn, NY 11213-2939 | 2020-07-27 |
| 1609485895 | A5 Pharmacy Inc. | Pharmacy | 5323 7th Ave, Brooklyn, NY 11220-3120 | 2020-07-23 |
| 1528685971 | Knapp Drugs Corp. | Pharmacy | 2433 Knapp St Ste 102, Brooklyn, NY 11235-1005 | 2020-07-01 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.