Susan Marie Palmer, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0006960 Issued in CT

Practice address

321 Main St
Durham, CT 06422-1614

Phone

(860) 349-3478

Fax

(860) 349-1240

NPI assigned

Nov 22, 2019

Last updated

Nov 22, 2019By 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

Other identifiers 1

Other names 1

• Susan Marie Boucher Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Durham Pharmco Inc

  dba Durham Healthmart Pharmacy

  • Community/Retail Pharmacy
  • Durham, CT
  • NPI 1235146804
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1154967354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221614",
            "telephone_number": "860-349-3478",
            "fax_number": "860-349-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MAIN ST",
            "city": "DURHAM",
            "state": "CT",
            "postal_code": "064221614",
            "telephone_number": "860-349-3478",
            "fax_number": "860-349-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "0006960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CT",
            "identifier": "0006960",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "BOUCHER",
            "middle_name": "MARIE",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Debra Shepard Nelson, PSY.D.
• Nourish by Gina LLC
• Nutmeg Pediatric Speech Therapy LLC
• Open Minds Counseling
• Karen Otte, MSW
• Jenna Kaitlyn Parks, PA-C
• Amit Patel, DMD
• Shaun M Patenaude, M.A.
• Prete Chiropractic Center LLC
• April J Prete, D.C.

• Pharmacist in Durham, CT
• Providers in Durham, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.