SAMANTHA RAE DEBARTOLO
NPI 1225867963
Pharmacist in Kenosha, WI

Active since July 31, 2024
1810 30TH AVE, KENOSHA, WI 53144(262) 551-8812 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Rae Debartolo NPPES

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

SAMANTHA RAE DEBARTOLO (NPI 1225867963) is an individual pharmacist in Kenosha, Wisconsin, licensed in Wisconsin (2269040) and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1225867963
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSAMANTHA RAE DEBARTOLO
Location Address1810 30TH AVEKenosha, WI 53144-1437
Mailing Address1810 30th AveKenosha, WI 53144-1437 · (262) 551-8812
Sole ProprietorNo
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
NPI 1225867963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in WI · 2269040
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.

1810 30TH AVE, Kenosha, WI 53144

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
1810 30TH AVE
KENOSHA, WI 53144
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Pharmacist
1810 30TH AVE
KENOSHA, WI 53144
Pharmacy Technician
1810 30TH AVE
KENOSHA, WI 53144

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 Samantha Debartolo's NPI number?

The NPI number for Samantha Debartolo is 1225867963. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Samantha Debartolo located?

Samantha Debartolo practices at 1810 30th Ave, Kenosha, WI 53144. The listed phone number is (262) 551-8812.

What is Samantha Debartolo'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 Samantha Debartolo was last updated on July 31, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.