Individual provider Active NPI

Suzie M Chhouk, PHARMD

  • Pharmacist
  • Eagle Butte, SD
National Provider Identifier
1073228615
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
2022040332 Issued in MO
Practice address
24276 166TH St
Eagle Butte, SD 57625-8141
Phone
(605) 964-1520
NPI assigned
Jan 18, 2023
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 2022040332 MO Primary

Addresses

Primary practice location

24276 166TH St
Eagle Butte, SD 57625-8141

Mailing address

2416 E 85TH St
Kansas City, MO 64132-2618

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address suzie.chhouk@ihs.gov

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
2022040332MOMDPharmacist

Interoperability endpoints

  • Direct secure messaging: suzie.chhouk@ihs.gov

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1073228615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E 85TH ST",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641322618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24276 166TH ST",
            "city": "EAGLE BUTTE",
            "state": "SD",
            "postal_code": "576258141",
            "telephone_number": "605-964-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHHOUK",
        "first_name": "SUZIE",
        "middle_name": "M",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-18",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2022040332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzie.chhouk@ihs.gov",
            "affiliation": "N",
            "address_1": "24276 166th St",
            "city": "Eagle Butte",
            "state": "SD",
            "country_code": "US",
            "postal_code": "576258141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eagle Butte, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.