Irene Sansoucie, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2011026615 Issued in MO

Practice address

4333 Butler Hill Rd
Saint Louis, MO 63128-3717

Phone

(314) 894-2484

Fax

(314) 894-2591

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

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

{
    "created_epoch": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1134605017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HARBOR CT",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630267516",
            "telephone_number": "314-398-1198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 BUTLER HILL RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283717",
            "telephone_number": "314-894-2484",
            "fax_number": "314-894-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANSOUCIE",
        "first_name": "IRENE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2011026615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Armen Sanosyan, MD
• Melissa Anne Sanson, M.ED, BCBA
• Christina M Sansone Merz, AGPCNP
• Jack Michael Sansone, MD
• Katelyn Sansone, PLMFT
• Sayli Milind Sant, MD
• Sally Santangelo, CRNA
• Kelly Ann Santel, OT
• Moshe Dovid Santer, D.C.
• Joseph Santos Santiago, M.D.

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.