Individual provider Active NPI

Susan Nichole Morrow, RPH

  • Pharmacist
  • Evansville, IN
National Provider Identifier
1053605170
Registry record updated Jun 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26019983A Issued in IN
Practice address
6625 E Lloyd Expy
T-1481
Evansville, IN 47715-2757
Phone
(812) 402-8509
Fax
(812) 402-8509
NPI assigned
Jun 6, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26019983A IN Primary
Pharmacist 183500000X PS31609 FL
Pharmacist 183500000X 013503 KY

Addresses

Primary practice location

6625 E Lloyd Expy
T-1481
Evansville, IN 47715-2757

Mailing address

6625 E Lloyd Expy
T-1481
Evansville, IN 47715-2757
Phone (812) 402-8509

Other names 1

  • Niki Morrow Other name

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
PS31609FLMDPharmacist
26019983AINMDPharmacist
013503KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307318400000",
    "number": "1053605170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 E LLOYD EXPY",
            "address_2": "T-1481",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152757",
            "telephone_number": "812-402-8509",
            "fax_number": "812-402-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 E LLOYD EXPY",
            "address_2": "T-1481",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477152757",
            "telephone_number": "812-402-8509",
            "fax_number": "812-402-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORROW",
        "first_name": "SUSAN",
        "middle_name": "NICHOLE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019983A",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31609",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "013503",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "MORROW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; 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.