What is Thavory Samoeun's NPI number?

Thavory Samoeun's National Provider Identifier (NPI) is 1053283119, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Thavory Samoeun's specialty?

Thavory Samoeun is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Thavory Samoeun located?

Thavory Samoeun's practice location on file with NPPES is 22 Fremont Ave, Saint Augustine, FL 32095-8646.

What is Thavory Samoeun's phone number?

The practice phone number listed in the NPPES registry for Thavory Samoeun is (904) 412-6549.

Is Thavory Samoeun's NPI active?

Yes — Thavory Samoeun's NPI (1053283119) is active in the NPPES registry as of the last update on 2025-09-18.

IndividualActive

Thavory Samoeun

NPI 1053283119 · Pharmacist · Saint Augustine, FL

Thavory Samoeun is a Pharmacist provider in Saint Augustine, FL (NPI 1053283119).

Provider details

NPI number: 1053283119
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Sex: Male
Sole proprietor: Yes
License: 42516 (FL)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 42516 (FL)
Pharmacy Service Providers

Profile Score

Established profile(54/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

22 Fremont Ave

Saint Augustine, FL 32095-8646

Phone: (904) 412-6549

Street-level locationGet directions

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Mailing address