MR. SAMUEL DAVID FINE


Address: 4070 Goldenrod Ln, Plymouth, MN 55441
Phone: 6127418418

MR. SAMUEL DAVID FINE (NPI# 1427453125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427453125
Entity Type Individual
Full Name MR. SAMUEL DAVID FINE
Credential R.PH.
Practice Address 4070 Goldenrod Ln
Plymouth
MN 55441
Practice Telephone 6127418418
Mailing Telephone 6127418418
Enumeration Date 2014-10-24
Last Update Date 2014-10-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 115432 MN Pharmacy Service Providers

Office Location

Street Address 4070 GOLDENROD LN
City PLYMOUTH
State MN
Zip Code 55441

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689190019 The Recovery Clinic LLC Clinic/Center 9800 Shelard Pkwy Ste 215, Plymouth, MN 55441 2017-08-17
1356887186 Katherine Marlow Bell Dentist 2805 Campus Dr Ste 245, Plymouth, MN 55441 2017-01-18
1083069538 Mercade Waldon Home Health Aide 3501 Xenium Lane, Plymouth, MN 55441 2016-05-03
1346645538 Phs Westhealth, Inc Skilled Nursing Facility 2775 Campus Drive North, Plymouth, MN 55441 2014-10-30
1548672538 Scott Aaron Schmidt Dentist 2720 Annapolis Circle N, Suite A, Plymouth, MN 55441 2014-05-23
1831498633 Comforide Transportation Services LLC Non-emergency Medical Transport (VAN) 9730 37th Pl N Suite 201, Plymouth, MN 55441 2011-03-18
1255669271 Tammy Kae Mehlhaus Physician Assistant 2855 Campus Drive, Suite 570, Plymouth, MN 55441 2009-12-02
1164758199 Stephen P. Boger, Dds, Pa Dentist 2720 Annapolis Circle, Suite A, Plymouth, MN 55441 2009-10-27
1093908360 Endodontic Professionals Pa Plymouth Endodontics Dentist 3401 Hwy 169 N, Plymouth, MN 55441 2007-08-21
1679787279 Vinay Ravi Radiology 2955 Xenium Ln N Ste 40, Plymouth, MN 55441 2007-05-10
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Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy 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.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194331801 Mohamed Nasser Pharmacist 48923 Tuscan Hills Dr, Plymouth, MI 48170-4885 2020-09-17
1114552379 Molly M Mahoney Pharmacist 4110 Juneau Lane N, Plymouth, MN 55446 2020-03-09
1396383964 Ranim Altaki Pharmacist 4980 Garland Ct N Apt C, Plymouth, MN 55446-2458 2019-12-14
1811547748 Steven N Wolff Pharmacist Walmart #1978, 2505 North Oak Drive, Plymouth, IN 46563 2019-09-12
1467001917 Timothy Charles Krause Pharmacist 4360 Kingsview Ln N, Plymouth, MN 55446-2734 2019-09-07
1932663234 Allison Barker Pharmacist 6055 Nathan Ln N # 200a, Plymouth, MN 55442-1674 2019-01-31
1114398948 Sapna Sutariya Pharmacist 47751 N Territorial Rd, Plymouth, MI 48170 2015-10-20
1831581172 Susan Anderson Pharmacist 4005 Vinewood Lane N, Walgreens 02767, Plymouth, MN 55442 2015-02-24
1073912630 Rachel Riley Pharmacist 4175 Vinewood Ln N # 16191, Plymouth, MN 55442-2624 2014-08-20
1326472663 Tyler Masson Pharmacist 101 Boulder Point Dr Rm 1009, Plymouth, NH 03264-3170 2013-08-22
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Competitor

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City PLYMOUTH
Zip Code 55441

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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