Susan K Bancroft, RPH
Individual provider Active NPI Pharmacist · Springville, NY
NPI 1124341128 · NPPES record last updated Mar 4, 2010
Key facts
- NPI
- 1124341128
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 032342 (NY)
- Practice address
- 316 S.Cascade Dr.
Springville, NY 14141 - Phone
- (716) 592-1465
- NPI assigned
- Mar 4, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 032342 | NY | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 032342 | NY | Yes |
Addresses
Primary practice location
316 S.Cascade Dr.
Springville, NY 14141
Mailing address
3616 Bonnie LN
Hamburg, NY 14075-6302
Phone (716) 648-7860
Other providers in Springville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.