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Samantha Jo Ridley, PHARM.D

NPI 1639645591ActiveIndividual· Pharmacist· Rolla, MO

Pharmacist (PHARM.D) in Rolla, Missouri, licensed in MO, with an NPI issued in October 2018.

Overview

NPI1639645591
StatusActive
Entity typeIndividual
CredentialPHARM.D
Sole proprietorNo
NPI issuedOct 18, 2018
Last updated in NPPESJul 10, 2024
Certified by providerJul 10, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X2018026729MO

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Pharmacist providers in Rolla

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