Individual provider Active NPI

Susan Shutt Rasbach, PHARM D.

  • Pharmacist
  • Arlington, TN
National Provider Identifier
1356680110
Registry record updated Feb 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
29379 Issued in TN
Practice address
11635 Highway 70
Arlington, TN 38002-9778
Phone
(901) 290-9270
Fax
(901) 290-9271
NPI assigned
Feb 13, 2013
Last updated
Feb 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 29379 TN Primary

Addresses

Primary practice location

11635 Highway 70
Arlington, TN 38002-9778

Mailing address

395 Whitehall CT
Eads, TN 38028-3301
Phone (731) 607-4634

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

LicenseStateTypeSpecialty
29379TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1360713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1356680110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 WHITEHALL CT",
            "city": "EADS",
            "state": "TN",
            "postal_code": "380283301",
            "telephone_number": "731-607-4634",
            "fax_number": "901-290-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11635 HIGHWAY 70",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380029778",
            "telephone_number": "901-290-9270",
            "fax_number": "901-290-9271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RASBACH",
        "first_name": "SUSAN",
        "middle_name": "SHUTT",
        "name_prefix": "Dr.",
        "credential": "PHARM D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-13",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "29379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.