Active NPI
Susan Marie Brown, PHARMD
- Pharmacist
- Elysburg, PA
National Provider Identifier
1174794226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP440379
- Practice address
- 210 Industrial Park Rd
Elysburg, PA 17824-9770 - Phone
- (844) 878-5562
- Fax
- (570) 221-3711
- NPI assigned
- Mar 17, 2008
- 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 | RP440379 | PA | Primary |
Addresses
Primary practice location
210 Industrial Park Rd
Elysburg, PA 17824-9770
Mailing address
980 N Susquehanna TRL
Selinsgrove, PA 17870-7766
Phone (570) 374-0299
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP440379 | Other | PA | PA PHARMACY STATE LICENCE |
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 |
|---|---|---|---|
| RP440379 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1174794226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 N SUSQUEHANNA TRL",
"city": "SELINSGROVE",
"state": "PA",
"postal_code": "178707766",
"telephone_number": "570-374-0299",
"fax_number": "570-374-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 INDUSTRIAL PARK RD",
"city": "ELYSBURG",
"state": "PA",
"postal_code": "178249770",
"telephone_number": "844-878-5562",
"fax_number": "570-221-3711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "SUSAN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-17",
"last_updated": "2024-02-23",
"certification_date": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP440379",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA PHARMACY STATE LICENCE",
"identifier": "RP440379",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elysburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.