Active NPI
Johanna Xia Sulesky, PHARMD
- Pharmacist
- North Syracuse, NY
National Provider Identifier
1316538218
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 067430
- Practice address
- 114 N Main St
North Syracuse, NY 13212-2325 - Phone
- (315) 458-3363
- NPI assigned
- Feb 2, 2021
- Last updated
- May 27, 2021
- 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 | 067430 | NY | Primary |
Addresses
Primary practice location
114 N Main St
North Syracuse, NY 13212-2325
Mailing address
3132 Corlear Dr
Baldwinsville, NY 13027-8921
Phone (315) 481-5385
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 |
|---|---|---|---|
| 067430 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1612224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1316538218",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 CORLEAR DR",
"city": "BALDWINSVILLE",
"state": "NY",
"postal_code": "130278921",
"telephone_number": "315-481-5385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 N MAIN ST",
"city": "NORTH SYRACUSE",
"state": "NY",
"postal_code": "132122325",
"telephone_number": "315-458-3363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SULESKY",
"first_name": "JOHANNA",
"middle_name": "XIA",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-02",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "067430",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Syracuse, NY
- Elizabeth Gormley Stehle, LMSW
- Cynthia Ann Steinem, MD
- Caitlin Elena Stiglmeier, MD
- Jaclyn Suzanne Storto, MS SPEC ED CF-SLP
- Suburban Health Services Inc (Suburban Health Service Phcy)
- Sunder M Iqbal MD PC
- Ramakumar Suryadevara, D.D.S.
- Gregory Brendon Sweeney, D.D.S.
- Lauren Sweeney, M.S., OTR/L
- Timothy Patrick Sweet, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.