DR. THAVORY SOKON SAMOEUN
NPI 1053283119
Pharmacist in Saint Augustine, FL

Active since September 18, 2025
22 FREMONT AVE, SAINT AUGUSTINE, FL 32095(904) 412-6549 Get Directions Write a Review

NPPES record last updated: September 18, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Thavory Sokon Samoeun NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THAVORY SOKON SAMOEUN (NPI 1053283119) is an individual pharmacist in Saint Augustine, Florida, licensed in Florida (42516) and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1053283119
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. THAVORY SOKON SAMOEUN
Location Address22 FREMONT AVESaint Augustine, FL 32095-8646
Mailing Address22 Fremont AveSaint Augustine, FL 32095-8646 · (904) 412-6549
Sole ProprietorYes
Enumeration DateSeptember 18, 2025
NPPES CertifiedSeptember 18, 2025
NPI 1053283119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in FL · 42516
Definition
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.
22 FREMONT AVE, Saint Augustine, FL 32095

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thavory Samoeun's NPI number?

The NPI number for Thavory Samoeun is 1053283119. It was assigned to this individual provider in the NPPES registry on September 18, 2025.

Where is Thavory Samoeun located?

Thavory Samoeun practices at 22 Fremont Ave, Saint Augustine, FL 32095. The listed phone number is (904) 412-6549.

What is Thavory Samoeun's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Thavory Samoeun was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.