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SAMANTHA JO DIVINE PHARMD
NPI 1689269219
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bloomington, IN

Active since March 05, 2021
500 S LIBERTY DR, BLOOMINGTON, IN 47403(812) 349-1392(812) 349-1393 Get Directions Write a Review

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

About Samantha Jo Divine Pharmd NPPES

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

SAMANTHA JO DIVINE PHARMD (NPI 1689269219) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Bloomington, Indiana, licensed in Indiana (26029142A) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1689269219
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameSAMANTHA JO DIVINECredential: PHARMD
Location Address500 S LIBERTY DRBloomington, IN 47403-1924
Mailing Address500 S Liberty DrBloomington, IN 47403-1924 · (812) 349-1392 · Fax (812) 349-1393
Phone(812) 349-1392
Fax(812) 349-1393
Sole ProprietorNo
Enumeration DateMarch 5, 2021
Last NPPES UpdateJune 18, 2026
NPPES CertifiedJune 18, 2026
✔ NPI 1689269219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in IN · 26029142A
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
500 S LIBERTY DR, Bloomington, IN 47403
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Other Providers at the Same Location NPPES 9

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

SAVANNA SPICE
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 349-1392
AMANDA M DESCHEPPER PHARMD
Pharmacist
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 349-1392
MRS. DAWN NICHOLE BALDWIN PHARM.D.
Pharmacist
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 349-1392
OLIVIA SCHUMAN
Pharmacist
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 349-1392
STACEY ELIZABETH HUGHES FNP-C
Nurse Practitioner (Family)
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (517) 505-2881
BRENT WOLFORD RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 349-1392
INDIANA UNIVERSITY HEALTH URGENT CARE CENTERS, LLC
Non-Pharmacy Dispensing Site
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 918-5907
KROGER LIMITED PARTNERSHIP I
Pharmacy (Community/Retail Pharmacy)
500 S LIBERTY DR
BLOOMINGTON, IN 47403
Monroe County (812) 349-1392

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 Divine's NPI number?

The NPI number for Samantha Divine is 1689269219. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Samantha Divine located?

Samantha Divine practices at 500 S Liberty Dr, Bloomington, IN 47403. The listed phone number is (812) 349-1392.

What is Samantha Divine's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Samantha Divine was last updated on June 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.