Active NPI
Suzanne Nash Anthony, R.PH.
- Pharmacist
- Grand Rapids, MI
National Provider Identifier
1003031493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302023009
- Practice address
- 4021 Cascade Rd SE
Grand Rapids, MI 49546-2177 - Phone
- (616) 974-9792
- NPI assigned
- Apr 13, 2007
- Last updated
- Jan 27, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302023009 | MI | Primary |
Addresses
Primary practice location
4021 Cascade Rd SE
Grand Rapids, MI 49546-2177
Mailing address
2170 Finsbury LN NW
Grand Rapids, MI 49504-4701
Phone (616) 890-9692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5302023009 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Keystone Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422316800000",
"number": "1003031493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 FINSBURY LN NW",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495044701",
"telephone_number": "616-890-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4021 CASCADE RD SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462177",
"telephone_number": "616-974-9792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANTHONY",
"first_name": "SUZANNE",
"middle_name": "NASH",
"name_prefix": "Mrs.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2015-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302023009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.