Sidney Williams Sustarich

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP0013329 Issued in WV

Practice address

1021 3Rd St
New Martinsville, WV 26155-1554

Phone

(304) 455-1790

NPI assigned

Jul 30, 2019

Last updated

Feb 8, 2023By the provider in NPPES

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

Other names 1

• Sidney Rebecca Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1073167862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 W 39TH ST",
            "city": "SHADYSIDE",
            "state": "OH",
            "postal_code": "439471158",
            "telephone_number": "334-322-5232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 3RD ST",
            "city": "NEW MARTINSVILLE",
            "state": "WV",
            "postal_code": "261551554",
            "telephone_number": "304-455-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUSTARICH",
        "first_name": "SIDNEY",
        "middle_name": "WILLIAMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "RP0013329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SIDNEY",
            "last_name": "WILLIAMS",
            "middle_name": "REBECCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stonerise Reliable Healthcare LLC (Stonerise Home Health)
• Shelby Lynn Storm, MA, CCC-SLP
• Breauna Danielle Streets
• Cody N Sturm
• Sunbridge Mountain Care Management LLC (New Martinsville Center)
• Brian Lee Suter
• Paula Swartzmiller, MA LPC
• Brian Taylor
• Barbara Jean Theodoro, LSW
• Amanda Jo Thomas

• Pharmacist in New Martinsville, WV
• Providers in New Martinsville, WV by specialty
• Pharmacist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.