MEDICARE: DR. RAMSEY A SAMY 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	1835I0206X	Infectious Diseases Pharmacist	PS69934	FL
2	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	3181304	ID
3	1835C0205X	Critical Care Pharmacist	1181304	ID
4	1835P1300X	Psychiatric Pharmacist	3181304	ID

General Provider Information

NPI Number	:	1801416813
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMSEY A SAMY PHARMD

Provider Business Mailing Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	201-788-9004
Fax Number	:	208-216-0205

Provider Business Practice Location Address
First Line	:	784 S CLEARWATER LOOP STE B
Second Line	:
City	:	POST FALLS
State	:	ID
Zip	:	83854-9599
Country	:	US
Telephone Number	:	201-788-9004
Fax Number	:	208-216-0205

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

Provider Enumeration Date	:	04/20/2020
Last Update Date	:	03/29/2026

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