DR. SAMUEL LUIS REVERON PHARMD
NPI 1699116012
Pharmacist - Pharmacotherapy in North Bergen, NJ

Active since July 14, 2013
140 78TH ST, D5, NORTH BERGEN, NJ 07047(215) 840-2592 Get Directions Write a Review

NPPES record last updated: July 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Samuel Luis Reveron Pharmd NPPES

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

DR. SAMUEL LUIS REVERON PHARMD (NPI 1699116012) is an individual pharmacotherapy provider in North Bergen, New Jersey, licensed in New Jersey (28RI03384200) and active in the NPI registry since July 2013.

NPPES Registry Identity

NPI1699116012
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameDR. SAMUEL LUIS REVERONCredential: PHARMD
Location Address140 78TH ST, D5North Bergen, NJ 07047-5868
Mailing Address140 78th St, D5North Bergen, NJ 07047-5868 · (215) 840-2592
Sole ProprietorYes
Enumeration DateJuly 14, 2013
NPI 1699116012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License Licensed in NJ · 28RI03384200
Definition
A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.
140 78TH ST, North Bergen, NJ 07047

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 Samuel Reveron's NPI number?

The NPI number for Samuel Reveron is 1699116012. It was assigned to this individual provider in the NPPES registry on July 14, 2013.

Where is Samuel Reveron located?

Samuel Reveron practices at 140 78th St D5, North Bergen, NJ 07047. The listed phone number is (215) 840-2592.

What is Samuel Reveron's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Samuel Reveron was last updated on July 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.