Susan Elizabeth Balkum, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302411065 Issued in MI

Practice address

Vamc Pharmacy
325 East H St
Iron Mountain, MI 49801

Phone

(906) 774-3300

Fax

(906) 779-3141

NPI assigned

Sep 8, 2006

Sex

Female

Sole proprietor

No

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124122544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 S GRANT ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498012119",
            "telephone_number": "906-774-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VAMC PHARMACY",
            "address_2": "325 EAST H ST",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "49801",
            "telephone_number": "906-774-3300",
            "fax_number": "906-779-3141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALKUM",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dane Baker, O.D.
• Robert Leonard Baker, O.D.
• Faith Kathryn Bal
• Mark Balcer, P.T.
• Mary Ellen Balcer
• Jessica Barber, PA-C
• Alicia Katherine Barnes, FNP
• Amber Barnes, RDN
• Barry D. Johnson MD PC
• Lisa Basanese

• All providers in Iron Mountain, MI
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.