Individual provider Active NPI

Gary Edward Sutterlin, R.PH.

  • Pharmacist
  • Doylestown, PA
National Provider Identifier
1013513100
Registry record updated Dec 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP038686L Issued in PA
Practice address
2567 Mill Rd
Doylestown, PA 18902-1661
Phone
(215) 534-1371
Fax
(215) 794-8050
NPI assigned
Dec 5, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Pharmacist 1835P2201X RPI005083 PA
Pharmacist 183500000X RP038686L PA Primary

Addresses

Primary practice location

2567 Mill Rd
Doylestown, PA 18902-1661

Mailing address

2567 Mill Rd
Doylestown, PA 18902-1661
Phone (215) 534-1371

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

LicenseStateTypeSpecialty
RP038686LPAMDPharmacist
RPI005083PAMDAmbulatory Care Pharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607126400000",
    "number": "1013513100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2567 MILL RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021661",
            "telephone_number": "215-534-1371",
            "fax_number": "215-794-8050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2567 MILL RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189021661",
            "telephone_number": "215-534-1371",
            "fax_number": "215-794-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTTERLIN",
        "first_name": "GARY",
        "middle_name": "EDWARD",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-05",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "PA",
            "license": "RPI005083",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038686L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.