MEDICARE: DR. SAMANTHA JOAN PARENTE PHARMD, RPH

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	064555	NY

General Provider Information

NPI Number	:	1841761723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMANTHA JOAN PARENTE PHARMD, RPH

Provider Business Mailing Address
First Line	:	14558 8TH AVE
Second Line	:
City	:	WHITESTONE
State	:	NY
Zip	:	11357-1657
Country	:	US
Telephone Number	:	718-309-9931
Fax Number	:

Provider Business Practice Location Address
First Line	:	1532 86TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11228-3431
Country	:	US
Telephone Number	:	718-234-8444
Fax Number	:

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

Provider Enumeration Date	:	12/17/2018
Last Update Date	:	12/17/2018

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