Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha Jo Divine, PHARMD

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1689269219

Samantha Jo Divine, PHARMD is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Bloomington, Indiana. Licensed in Indiana. Registered with an NPI since 2021.

Licensed in
IN
In the registry since
2021
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

500 S Liberty Dr
Bloomington, IN 47403-1924
Phone: (812) 349-1392
Fax: (812) 349-1393
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 26029142A (IN)

Record details

NPI number1689269219
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMarch 5, 2021
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

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