Susan L Cerrillo, PHARM.D.

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

PH60081366 Issued in WA

Practice address

1906 George Washington Way
Richland, WA 99354-2308

Phone

(509) 943-9173

NPI assigned

Apr 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• Columbia River Pharmacy

  • Community/Retail Pharmacy
  • Richland, WA
  • NPI 1861423717
  NPD (past)
• Malleys Inc

  • Community/Retail Pharmacy
  • Richland, WA
  • NPI 1750462636
  NPD (past)

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

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1104182088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 HOXIE AVE",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993542308",
            "telephone_number": "509-943-9173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERRILLO",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N1003X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nutrition Support",
            "state": "WA",
            "license": "PH60081366",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60081366",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WA",
            "license": "PH60081366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine T.S. Cayetano, MD
• Zachary L Cazier, PHARMD
• Sonia Marie Cearlock, M.S., CCC-SLP
• Bryce Tyler Cedarquist
• Olga Ines Cepeda, LANGUAGE INTERPRETER
• Miguel Cervantes III, M.D.
• Prama Chakravarti, PHD, HSPP
• Stacie Naseem Chance, FNP, ARNP
• Prem Chand, MD
• Teresa Chandler, RN

• Pharmacotherapy Pharmacist in Richland, WA
• Providers in Richland, WA by specialty
• Pharmacotherapy Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.