Susong Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

177 Issued in TN

Legal business name

SUSONG PHARMACY INC

Doing business as

Susong Pharmacy

Practice address

2255 E Andrew Johnson Hwy
Greeneville, TN 37745-4375

Phone

(423) 639-8631

Fax

(423) 639-0302

NPI assigned

Oct 26, 2006

Last updated

Feb 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charles Susong, PHRM D

Title

President

Phone

(423) 639-8631

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• SUSONG PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Souther Smith, RPH

  • Pharmacist
  • Greeneville, TN
  • NPI 1194030486
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1073698361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 E ANDREW JOHNSON HWY",
            "address_2": "SUITE 2",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454375",
            "telephone_number": "423-639-8631",
            "fax_number": "423-639-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 E ANDREW JOHNSON HWY",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454375",
            "telephone_number": "423-639-8631",
            "fax_number": "423-639-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSONG PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SUSONG",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-639-8631",
        "authorized_official_credential": "PHRM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9448308",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4415495",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUSONG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Summit Medical Group, PLLC (Thwing Medical Group)
• Summit Medical Group, PLLC (Greeneville Internal Medicine)
• Summit Medical Group, PLLC (Greeneville Family Medicine)
• Summit Medical Group, PLLC (Summit Family Medicine Greeneville)
• Sunrise Community of Tennessee, Inc.
• Susong-Sydnor Inc (Howards Pharmacy)
• Emily Susong, PA-C
• Claes U Svendsen, MD
• Kayla Swanay, DVM
• Amanda Evoughn Swatzell

• Community/Retail Pharmacy in Greeneville, TN
• Providers in Greeneville, TN by specialty
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.