SAMUEL THAN (NPI# 1922608710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922608710 |
| Entity Type | Individual |
| Full Name | SAMUEL THAN |
| Credential | PHARMD |
| Practice Address |
1030 N University Dr Nacogdoches TX 75961-4208 |
| Practice Telephone | 9365857810 |
| Mailing Telephone | 9365857810 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 63578 | TX | Pharmacy Service Providers |
| Street Address |
1030 N UNIVERSITY DR |
| City | NACOGDOCHES |
| State | TX |
| Zip Code | 75961-4208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538531520 | Wal-mart Stores Texas LLC | Pharmacy | 1030 N University Dr, Nacogdoches, TX 75961-4208 | 2015-10-29 |
| 1720617020 | Kangni Wu | Pharmacist | 1030 N University Dr, Nacogdoches, TX 75961-4208 | 2020-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578195582 | Trevon Jerrell Jones | Specialist/Technologist | 13010 Sfa Station, Nacogdoches, TX 75961 | 2020-02-07 |
| 1275014094 | Connie Nicole Hamner | Licensed Vocational Nurse | 214 Cr 387, Nacogdoches, TX 75961 | 2018-08-29 |
| 1689175804 | Barbara Stracener | Registered Nurse | 234 Grove Lane, Nacogdoches, TX 75961 | 2018-02-22 |
| 1710425541 | St.alyssamedical Center | Clinic/Center | 1303 N. Mound Street, Nacogdoches, TX 75961 | 2017-01-31 |
| 1609319458 | Nacogdoches Internal Medicine Pllc | Internal Medicine | 412 North St Ste E, Nacogdoches, TX 75961 | 2016-11-28 |
| 1972982866 | Deanna Ellen Bishop | Nurse Practitioner | 1309 S. University Dr, East Texas Community Health Services, Inc., Nacogdoches, TX 75961 | 2015-05-25 |
| 1659798155 | Dr. Ronnie Hancock Family Dentistry, Pllc | Dental Hygienist | 1302 Raguet Street, Nacogdoches, TX 75961 | 2014-03-21 |
| 1205095585 | Chris R Chambers | Surgery | 1018 N Mound St Ste 106, Nacogdoches, TX 75961 | 2008-06-03 |
| 1972790285 | Assisted Living Concepts Inc | Assisted Living Facility | 901 Oakview Drive, Nacogdoches, TX 75961 | 2007-10-01 |
| 1356492151 | James Knox Dowling | Pediatrics | 2106 N. Raguet, Nacogdoches, TX 75961 | 2007-01-16 |
| Find all providers in zip 75961 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518520493 | Billy Jobe | Pharmacist | 917 East Austin, Nacogdoches, TX 75965 | 2019-04-17 |
| 1801837562 | John R Cody | Pharmacist | 212 North St, Nacogdoches, TX 75961-5260 | 2006-06-10 |
| 1083214100 | Ralph Donald Ballard | Pharmacist | 4810 North St, Nacogdoches, TX 75965-1876 | 2020-10-28 |
| 1952909442 | David Khuzistani | Pharmacist | 3004 North St, Nacogdoches, TX 75965-2858 | 2020-10-15 |
| 1225643117 | Sannya Salim | Pharmacist | 1216 South St, Nacogdoches, TX 75964-5942 | 2020-09-09 |
| 1720617020 | Kangni Wu | Pharmacist | 1030 N University Dr, Nacogdoches, TX 75961-4208 | 2020-04-07 |
| 1962067256 | Patricia Sue Madison | Pharmacist | 1205 N Mound St, Nacogdoches, TX 75961-4028 | 2019-05-02 |
| 1235794579 | David Glynn Bradley | Pharmacist | 917 E Austin St, Nacogdoches, TX 75965-2845 | 2019-05-02 |
| 1750945291 | Holly Bradley Hinze | Pharmacist | 917 E Austin St, Nacogdoches, TX 75965-2845 | 2019-04-30 |
| 1932763372 | Deborah Elaine Rankin | Pharmacist | 1205 N Mound St, Nacogdoches, TX 75961-4028 | 2019-04-30 |
| Find all providers in NACOGDOCHES | ||||
| City | NACOGDOCHES |
| Zip Code | 75961 |
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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.