National Provider Identifier
Shaun Sample, RPH
Shaun Sample, RPH is listed in the NPPES registry with a primary specialty of Pharmacist in Ithaca, NY and a listed phone number of (607) 277-1772.
Profile Overview
- NPI
- 1508189416
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- March 05, 2010
- Last Updated
- March 05, 2010
Practice Location
- 500 S Meadow St
- Ithaca, NY 14850-5317
Phone: (607) 277-1772
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1508189416
- Entity Type
- Individual
- Last Name
- Sample
- First Name
- Shaun
- Credential
- RPH
- Mailing Street Address
- 500 S Meadow St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-5317
- Mailing Country
- US
- Mailing Phone
- (607) 277-1772
- Mailing Fax
- (607) 277-5890
- Practice Street Address
- 500 S Meadow St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5317
- Practice Country
- US
- Practice Phone
- (607) 277-1772
- Practice Fax
- (607) 277-5890
- Enumeration Date
- March 05, 2010
- Last Updated
- March 05, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)
- Other Identifiers
- 052605 (NY, Pharmacist License #)