Angella Samson
Pharmacy (Community/Retail Pharmacy)

Address: 1346 Granville Payne Ave, Brooklyn, NY 11239-2103
Phone: 7186422727

Angella Samson (NPI# 1043817463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1043817463
Entity Type Individual
Full Name Angella Samson
Gender Female
Practice Address 1346 Granville Payne Ave
Brooklyn
NY 11239-2103
Practice Telephone 7186422727
Mailing Address 3320 Avenue R
Brooklyn
NY 11234-4434
Mailing Telephone 7188665119
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2020-10-08
Last Update Date 2020-10-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 3336C0003X Pharmacy · Community/Retail Pharmacy Suppliers 067200 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY 067200 OTHER NYSED LICENSE NUMBER

Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

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Office Location

Street Address 1346 GRANVILLE PAYNE AVE
City BROOKLYN
State NY
Zip Code 11239-2103

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851999072 Tracy Carlene George Pharmacist 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 2020-10-09

Providers in the same zip code

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
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Competitor

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City BROOKLYN
Zip Code 11239

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Dataset Information

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.