Individual provider Active NPI

Susan Lovell Kertis, RPH

  • Pharmacist
  • Seven Fields, PA
National Provider Identifier
1063712784
Registry record updated Oct 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP044423L Issued in PA
Practice address
100 Seven Fields Blvd
Seven Fields, PA 16046-4345
Phone
(724) 742-0909
NPI assigned
Oct 27, 2010
Last updated
Oct 27, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP044423L PA Primary

Addresses

Primary practice location

100 Seven Fields Blvd
Seven Fields, PA 16046-4345

Mailing address

108 Kathleen CT
Wexford, PA 15090-6926

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
RP044423LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1288137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288137600000",
    "number": "1063712784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KATHLEEN CT",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150906926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SEVEN FIELDS BLVD",
            "city": "SEVEN FIELDS",
            "state": "PA",
            "postal_code": "160464345",
            "telephone_number": "724-742-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERTIS",
        "first_name": "SUSAN",
        "middle_name": "LOVELL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-27",
        "last_updated": "2010-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044423L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seven Fields, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.