MEDICARE: AYA SAMHAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	76990	TX

General Provider Information

NPI Number	:	1366398778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AYA SAMHAN PHARMD

Provider Business Mailing Address
First Line	:	1755 WYNDALE ST APT 604
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-4175
Country	:	US
Telephone Number	:	541-908-6914
Fax Number	:

Provider Business Practice Location Address
First Line	:	6565 FANNIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77030-2703
Country	:	US
Telephone Number	:	541-908-6914
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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Directions to “ AYA SAMHAN PHARMD” Practice Location

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