Active NPI
Susan Varghese, RPH
- Pharmacist
- Tampa, FL
National Provider Identifier
1144403494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS36911
- Practice address
- 6285 E Fowler Ave
Tampa, FL 33617-3304 - Phone
- (813) 983-1500
- Fax
- (813) 983-1501
- NPI assigned
- Dec 10, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS36911 | FL | Primary |
Addresses
Primary practice location
6285 E Fowler Ave
Tampa, FL 33617-3304
Mailing address
6285 E Fowler Ave
Tampa, FL 33617-3304
Phone (813) 983-1500
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS36911 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Pharmacology Services | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
Organizations & group practices 1
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.
-
dba Conexus Health
- Medical Specialty Clinic/Center
- Temple Terrace, FL
- NPI 1861781338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1144403494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6285 E FOWLER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336173304",
"telephone_number": "813-983-1500",
"fax_number": "813-983-1501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6285 E FOWLER AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336173304",
"telephone_number": "813-983-1500",
"fax_number": "813-983-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGHESE",
"first_name": "SUSAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-10",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS36911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.