Individual provider Active NPI

John Suzo, PHARM.D.

  • Pharmacist
  • Noblesville, IN
National Provider Identifier
1093361693
Registry record updated Aug 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
26022570A Issued in IN
Practice address
14575 Mundy Dr
Noblesville, IN 46060-7224
Phone
(317) 770-5275
Fax
(317) 770-6117
NPI assigned
Aug 11, 2019
Last updated
Aug 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 26022570A IN Primary

Addresses

Primary practice location

14575 Mundy Dr
Noblesville, IN 46060-7224

Mailing address

14575 Mundy Dr
Noblesville, IN 46060-7224
Phone (317) 770-5275

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
26022570AINMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1565481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565481600000",
    "number": "1093361693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14575 MUNDY DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460607224",
            "telephone_number": "317-770-5275",
            "fax_number": "317-770-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14575 MUNDY DR",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460607224",
            "telephone_number": "317-770-5275",
            "fax_number": "317-770-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUZO",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-11",
        "last_updated": "2019-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26022570A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2019; 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.