Susan Christine Fagan, PHARM.D.

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH020270 Issued in GA

Practice address

HM 1220 1120 15TH Street
University of Georgia College of Pharmacy
Augusta, GA 30912

Phone

(706) 721-4915

Fax

(706) 721-3994

NPI assigned

Dec 8, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1260230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260230400000",
    "number": "1316276033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BLACKHAW DR",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298609218",
            "telephone_number": "706-721-4915",
            "fax_number": "706-721-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HM 1220 1120 15TH STREET",
            "address_2": "UNIVERSITY OF GEORGIA COLLEGE OF PHARMACY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30912",
            "telephone_number": "706-721-4915",
            "fax_number": "706-721-3994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGAN",
        "first_name": "SUSAN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-08",
        "last_updated": "2009-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH020270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Andrew Fabich Jr., DNP, CRNA, RN
• Julie Fabregas-Schindler, DO
• Lynn M Facey, PTA
• Hossam Eldin Fadel, MD
• Shawn P Fagan, M.D.
• Paula M Faglier, NP-C
• Courtney Erin Fairchild, PA-C
• Faircloth Bakeman Partnership (Aiken/Augusta Oral & Facial Surgery)
• David Neal Faircloth, DMD
• Mazen Shafiq Fakhouri, PA-C

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.

Verify at the official NPI Registry.