DR. SAMUEL LUIS REVERON PHARMD NPI 1699116012

NPI Information

  • NPI: 1699116012
  • Provider Name: DR. SAMUEL LUIS REVERON, PHARMD
  • Classification: Pharmacist - 1835P1200X
  • Specialization: Pharmacotherapy
  • Entity Type: Individual
  • Address: 140 78TH ST
    D5
    NORTH BERGEN, NJ
    ZIP 07047
  • Phone: (215) 840-2592

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NPI Details

DR. Samuel Luis Reveron, PHARMD is a pharmacotherapy pharmacist in North Bergen, NJ. The provider is a licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy. DR. Samuel Luis Reveron, PHARMD NPI is 1699116012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

140 78TH ST
D5
NORTH BERGEN, NJ
ZIP 07047-868
Phone: (215) 840-2592

The enumeration date for this NPI number is 7/14/2013 and was last updated on 7/14/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P1200XPharmacistPharmacotherapy28RI03384200NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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