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Samantha Anne Russo, PHARMD

NPI 1700402864ActiveIndividual· Pharmacist· Anoka, MN

Pharmacist (PHARMD) in Anoka, Minnesota, licensed in MN, with an NPI issued in June 2020.

Overview

NPI1700402864
StatusActive
Entity typeIndividual
CredentialPHARMD
Sole proprietorNo
NPI issuedJun 24, 2020
Last updated in NPPESJun 24, 2020
Certified by providerJun 24, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacist Primary183500000X124755MN

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 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 pharmacists in Anoka

All 40 pharmacists in Anoka · All pharmacists in Minnesota