Active NPI
Carmen Michelle Suedmeier, RPH
- Pharmacist
- Shallotte, NC
National Provider Identifier
1265769731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20636
- Practice address
- 4577 Main St
Shallotte, NC 28470-4447 - Phone
- (910) 755-5953
- NPI assigned
- Nov 4, 2009
- Last updated
- Nov 4, 2009
- 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 | 20636 | NC | Primary |
Addresses
Primary practice location
4577 Main St
Shallotte, NC 28470-4447
Mailing address
111 Laughing Gull LN
Hampstead, NC 28443-7204
Phone (910) 270-5482
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20636 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257292800000",
"number": "1265769731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LAUGHING GULL LN",
"city": "HAMPSTEAD",
"state": "NC",
"postal_code": "284437204",
"telephone_number": "910-270-5482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4577 MAIN ST",
"city": "SHALLOTTE",
"state": "NC",
"postal_code": "284704447",
"telephone_number": "910-755-5953"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUEDMEIER",
"first_name": "CARMEN",
"middle_name": "MICHELLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-04",
"last_updated": "2009-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "20636",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shallotte, NC
- Jacob David Spring, DPT
- Zachery Taylor Stephenson, O.D.
- Stoldaddy Inc. (Lundy Chiropractic and Rehab)
- Heather Shannon Stoume Stoume, MSW, LCSW, LCAS,
- Jenna Strickland, PT
- Sunshine Company Home Care LLC
- Synergy Counseling Services, LLC
- Michal Krzysztof Szelwach, PA-C
- Edith Tapia
- Tanisha Keriel Tart, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.