Provider Demographics
NPI:1841761723
Name:PARENTE, SAMANTHA JOAN (PHARMD, RPH)
Entity Type:Individual
Prefix:DR
First Name:SAMANTHA
Middle Name:JOAN
Last Name:PARENTE
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14558 8TH AVE
Mailing Address - Street 2:
Mailing Address - City:WHITESTONE
Mailing Address - State:NY
Mailing Address - Zip Code:11357-1657
Mailing Address - Country:US
Mailing Address - Phone:718-309-9931
Mailing Address - Fax:
Practice Address - Street 1:1532 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11228-3431
Practice Address - Country:US
Practice Address - Phone:718-234-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064555183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist