Susan M Kane, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS39865 Issued in FL

Practice address

670 Marsh Landing Pkwy
Jacksonville Beach, FL 32250-5850

Phone

(904) 273-7606

Fax

(904) 273-7612

NPI assigned

Jan 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)
• Publix Super Markets Inc

  • Community/Retail Pharmacy
  • Jacksonville Beach, FL
  • NPI 1811938319
  NPD (past)

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

{
    "created_epoch": "1358294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1063750602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 MARSH LANDING PKWY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505850",
            "telephone_number": "904-273-7606",
            "fax_number": "904-273-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 MARSH LANDING PKWY",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505850",
            "telephone_number": "904-273-7606",
            "fax_number": "904-273-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "SUSAN",
        "middle_name": "M",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS39865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johanna Marie Judd, MS, OTR/L, CLT
• Michael John Jumber, DMD
• Kali Thurman Aprn LLC
• Marcus A Kampfe, DC
• Alexis Kane, CRNA
• Jamie Kanehl, NP
• Nikhil Kapila, MD
• Karen Gabriel
• Regina Kaufman, M.A.
• Jeffrey Ross Keener, CPO/LPO

• Pharmacist in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.