Thavory Sokon Samoeun

Pharmacist · Saint Augustine, FL

Individual Active NPI

NPI number 1053283119

Practice location

22 Fremont Ave
Saint Augustine, FL 32095-8646
Phone
(904) 412-6549

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NPI record

NPI
1053283119
Entity type
Individual (Type 1)
Enumeration date
September 18, 2025
Last updated
September 18, 2025
Certified
September 18, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 42516 FL

About Thavory Samoeun

Thavory Sokon Samoeun is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 22 Fremont Ave, Saint Augustine, FL 32095-8646. The NPI number 1053283119 was assigned on September 18, 2025 and the record was last updated on September 18, 2025.

Thavory Samoeun lists a license in the registry: #42516 (FL) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Thavory Sokon Samoeun?

The NPI number is 1053283119.

What is the phone number of Thavory Samoeun?

The phone number listed for the practice location is (904) 412-6549.

Where is Thavory Samoeun located?

22 Fremont Ave, Saint Augustine, FL 32095-8646.

What is the taxonomy code for Thavory Samoeun?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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