Active NPI
Chang Suh, PHARMD
- Pharmacist
- Lowell, MA
National Provider Identifier
1235849563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH26388
- Practice address
- 295 Varnum Ave
Lowell, MA 01854-2134 - Phone
- (978) 788-7479
- Fax
- (978) 788-7805
- NPI assigned
- Nov 28, 2022
- Sex
- Male
- 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 | PH26388 | MA | Primary |
Addresses
Primary practice location
295 Varnum Ave
Lowell, MA 01854-2134
Mailing address
8 Pine Tree Dr
Methuen, MA 01844-1268
Phone (978) 257-4553
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | chang.suh@tuftsmedicine.org |
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 |
|---|---|---|---|
| PH26388 | MA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1235849563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 PINE TREE DR",
"city": "METHUEN",
"state": "MA",
"postal_code": "018441268",
"telephone_number": "978-257-4553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "295 VARNUM AVE",
"city": "LOWELL",
"state": "MA",
"postal_code": "018542134",
"telephone_number": "978-788-7479",
"fax_number": "978-788-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUH",
"first_name": "CHANG",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH26388",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "chang.suh@tuftsmedicine.org",
"affiliation": "N",
"address_1": "295 Varnum Ave",
"city": "Lowell",
"state": "MA",
"country_code": "US",
"postal_code": "018542134",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.