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DR. JOHN MINA SAMUEL PHARM.D.
NPI 1790031094
Pharmacist in Bardonia, NY

Active since July 24, 2012
301 ROUTE 304 STE 4, BARDONIA, NY 10954(845) 507-0555(845) 507-0012 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. John Mina Samuel Pharm.d. NPPES

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

DR. JOHN MINA SAMUEL PHARM.D. (NPI 1790031094) is an individual pharmacist in Bardonia, New York, licensed in New York (056899) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1790031094
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JOHN MINA SAMUELCredential: PHARM.D.
Location Address301 ROUTE 304 STE 4Bardonia, NY 10954-2146
Mailing Address301 Route 304 Ste 4Bardonia, NY 10954-2146 · (845) 507-0555 · Fax (845) 507-0012
Phone(845) 507-0555
Fax(845) 507-0012
Sole ProprietorNo
Enumeration DateJuly 24, 2012
Last NPPES UpdateMay 31, 2022
NPPES CertifiedMay 31, 2022
✔ NPI 1790031094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 056899
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.
301 ROUTE 304 STE 4, Bardonia, NY 10954
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Other Providers at the Same Location NPPES 2

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

BARDONIA PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
301 ROUTE 304 STE 4
BARDONIA, NY 10954
Rockland County (845) 507-0555
BARDONIA PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
301 ROUTE 304 STE 4
BARDONIA, NY 10954
Rockland County (845) 507-0555

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 John Samuel's NPI number?

The NPI number for John Samuel is 1790031094. It was assigned to this individual provider in the NPPES registry on July 24, 2012.

Where is John Samuel located?

John Samuel practices at 301 Route 304 Ste 4, Bardonia, NY 10954. The listed phone number is (845) 507-0555.

What is John Samuel'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 John Samuel was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.