Individual provider Active NPI

Susan J Wu

  • Pharmacist
  • Moorestown, NJ
National Provider Identifier
1245838440
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02664600 Issued in NJ
Practice address
314 N Stanwick Rd
Moorestown, NJ 08057-3610
Phone
(856) 419-2734
NPI assigned
Oct 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP044648R PA
Pharmacist 183500000X 28RI02664600 NJ Primary

Addresses

Primary practice location

314 N Stanwick Rd
Moorestown, NJ 08057-3610

Mailing address

314 N Stanwick Rd
Moorestown, NJ 08057-3610
Phone (856) 419-2734

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjw005e.s08145.us@samsclub.com SAMS EAST INC

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

State licenses

LicenseStateTypeSpecialty
28RI02664600NJMDPharmacist
RP044648RPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245838440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 N STANWICK RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573610",
            "telephone_number": "856-419-2734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N STANWICK RD",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573610",
            "telephone_number": "856-419-2734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "SUSAN",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044648R",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02664600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjw005e.s08145.us@samsclub.com",
            "affiliation": "Y",
            "affiliationName": "SAMS EAST INC",
            "address_1": "2521 Route 130 S",
            "city": "Cinnaminson",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080773018",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.