TEENA SAM (NPI# 1588273973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588273973 |
| Entity Type | Individual |
| Full Name | TEENA SAM |
| Credential | PHARMD |
| Practice Address |
3500 Gaston Ave Dallas TX 75246-2017 |
| Mailing Address |
293 Auburn Hls Sunnyvale TX 75182-0044 |
| Practice Telephone | 3479632335 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
56038 | TX | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | PHARMACIST LICENSE | 56038 | 01 |
| Street Address |
3500 GASTON AVE |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-2017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395297 | Melanie K Flinn | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2096 | 2005-06-13 |
| 1811594690 | William C Haden Md Pllc | Internal Medicine | 3500 Gaston Ave, 4th Floor Jonsson Bl, Dallas, TX 75246-7524 | 2020-10-05 |
| 1770180705 | Rachel Elizabeth Stelzer | Nurse Anesthetist, Certified Registered | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-10-02 |
| 1366058653 | Onyinyechi Sarah Onwuelezi | Registered Nurse | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-09-22 |
| 1457962052 | Leah Amundson | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-08-17 |
| 1538779798 | Carrigan Lavon Belcher | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-08-03 |
| 1043820467 | Jenny Lee | Pharmacist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-08-01 |
| 1588282925 | Ramy Doss | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2088 | 2020-07-13 |
| 1053938704 | Melanie Johnson | Physical Therapist | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-06-29 |
| 1104447143 | Tyler Ray Heimdal | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 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. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144240 | Saima Ayub | Pharmacist | 6808 Skillman St Apt 5115, Dallas, TX 75231-5825 | 2020-04-30 |
| 1972133999 | Bra'sheika Renee Johnson | Pharmacist | 752 Wynnewood Village S/c, Dallas, TX 75224 | 2020-01-17 |
| 1710492772 | Kimberly Hunton | Pharmacist | 94 Memorial Ct, Dallas, GA 30132-4429 | 2017-12-12 |
| 1245609858 | Heather Eileen Li | Pharmacist | 2830 State St, Dallas, TX 75204 | 2015-09-24 |
| 1104161678 | Hiral Patel | Pharmacist | 4500 S Lancaster Rd Bldg 7r119a, Dallas, TX 75216-7167 | 2012-12-10 |
| 1538419825 | Michael Edward Wright II | Pharmacist | 3500 Gaston Ave., Department of Pharmacy, Dallas, TX 75246 | 2012-09-13 |
| 1366709040 | Tammy Monk James | Pharmacist | 4700 Ross Ave, Dallas, TX 75204-4859 | 2012-04-18 |
| 1427354687 | Kunal Kaushik Patel | Pharmacist | 2901 Indiana Blvd, # 315, Dallas, TX 75226-1520 | 2011-02-07 |
| 1952557985 | Latonya Rena Menefee | Pharmacist | 4500 S Lancaster Rd Bldg 7, Dallas, TX 75216-7167 | 2008-08-11 |
| 1093314049 | Whitney Faith Barth | Pharmacist | 4901 Maple Ave, Dallas, TX 75235-8210 | 2020-10-21 |
| Find all providers in DALLAS | ||||
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| 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.