Healthcare Provider Details

I. General information

NPI: 1801416813
Provider Name (Legal Business Name): RAMSEY A SAMY PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/20/2020
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

784 S CLEARWATER LOOP STE B
POST FALLS ID
83854-9599
US

IV. Provider business mailing address

784 S CLEARWATER LOOP STE B
POST FALLS ID
83854-9599
US

V. Phone/Fax

Practice location:
  • Phone: 201-788-9004
  • Fax: 208-216-0205
Mailing address:
  • Phone: 201-788-9004
  • Fax: 208-216-0205

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835C0205X
TaxonomyCritical Care Pharmacist
License Number1181304
License Number StateID
# 2
Primary TaxonomyY
Taxonomy Code1835P1300X
TaxonomyPsychiatric Pharmacist
License Number3181304
License Number StateID
# 3
Primary TaxonomyN
Taxonomy Code1835I0206X
TaxonomyInfectious Diseases Pharmacist
License NumberPS69934
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License Number3181304
License Number StateID
# 5
Primary TaxonomyN
Taxonomy Code1835P2201X
TaxonomyAmbulatory Care Pharmacist
License Number28RI04058400
License Number StateNJ
# 6
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number3181304
License Number StateID
# 7
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number1181304
License Number StateID

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: