Active NPI
Susie Oh, PHARMD
- Pharmacist
- Manhattan Beach, CA
National Provider Identifier
1154969723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 81350
- Practice address
- 2400 N Sepulveda Blvd
Manhattan Beach, CA 90266-2914 - Phone
- (424) 241-1950
- NPI assigned
- Dec 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 81350 | CA | Primary |
Addresses
Primary practice location
2400 N Sepulveda Blvd
Manhattan Beach, CA 90266-2914
Mailing address
PO Box 3781
La Habra, CA 90632-3781
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81350 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597536000000",
"number": "1154969723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3781",
"city": "LA HABRA",
"state": "CA",
"postal_code": "906323781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 N SEPULVEDA BLVD",
"city": "MANHATTAN BEACH",
"state": "CA",
"postal_code": "902662914",
"telephone_number": "424-241-1950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "SUSIE",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-13",
"last_updated": "2020-08-16",
"certification_date": "2020-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "81350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manhattan Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.