MEDICARE: DR. SAMUEL NGATA 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	PS61636	FL
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	PS61636	FL

General Provider Information

NPI Number	:	1255009874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SAMUEL NGATA PHARMD

Provider Business Mailing Address
First Line	:	2080 CHILD ST
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-5005
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2080 CHILD ST DEPT 5000
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32214-4970
Country	:	US
Telephone Number	:	904-542-7061
Fax Number	:

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

Provider Enumeration Date	:	08/30/2021
Last Update Date	:	09/19/2023

Similar Medicare Providers

1720918758 — PROSPER URGENT CARE, PLLC
Practice Location Address:

108 RIVERSIDE AVE UNIT 502
JACKSONVILLE, FL
32202-4970

Practice Phone: 812-582-0396
Practice Fax:

1376817551 — MS. PHYLICIA NICOLE MASSEY LCSW
Practice Location Address:

4940 EMERSON ST STE 103
JACKSONVILLE, FL
32207-4970

Practice Phone: 904-323-6801
Practice Fax: 904-328-1626

1437543428 — MRS. KATELYN GRAY-SALMAN LCSW
Practice Location Address:

4940 EMERSON ST STE 103
JACKSONVILLE, FL
32207-4970

Practice Phone: 904-236-6776
Practice Fax:

1518491471 — THE HEALTHY HIVE, LLC
Practice Location Address:

205 E COMMERCE ST , SUITE 209
JACKSONVILLE, TX
75766-4970

Practice Phone: 903-316-6386
Practice Fax:

1982292652 — HILLARY L BERGER MSW
Practice Location Address:

4940 EMERSON ST STE 103
JACKSONVILLE, FL
32207-4970

Practice Phone: 904-236-6776
Practice Fax: 904-416-1884

1356042709 — RENELLE WILLIAMS
Practice Location Address:

4940 EMERSON ST STE 103
JACKSONVILLE, FL
32207-4970

Practice Phone: 904-323-6801
Practice Fax:

Directions to “ DR. SAMUEL NGATA PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.