Active NPI
Erik Suh
- Pharmacist
- Sonora, CA
National Provider Identifier
1356732853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 77513
- Practice address
- 855 Mono Way
Sonora, CA 95370-5202 - Phone
- (209) 588-0561
- NPI assigned
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 2013034710 | MO | |
| Pharmacist | 183500000X | 77513 | CA | Primary |
Addresses
Primary practice location
855 Mono Way
Sonora, CA 95370-5202
Mailing address
855 Mono Way
Sonora, CA 95370-5202
Other practice location 1
1042 S Kirkwood Rd
Kirkwood, MO 63122-7200
Phone (314) 822-4865
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
| License | State | Type | Specialty |
|---|---|---|---|
| 77513 | CA | MD | Marriage & Family Therapist |
| 2013034710 | MO | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Interoperability endpoints
- erik.suh.p1@direct.lakeside.nextgenshare.com
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1982713434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1423094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1356732853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953705202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MONO WAY",
"city": "SONORA",
"state": "CA",
"postal_code": "953705202",
"telephone_number": "209-588-0561"
}
],
"practiceLocations": [
{
"address_1": "1042 S Kirkwood Rd",
"address_purpose": "LOCATION",
"city": "Kirkwood",
"state": "MO",
"postal_code": "631227200",
"country_code": "US",
"telephone_number": "314-822-4865",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUH",
"first_name": "ERIK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-02-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MO",
"license": "2013034710",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "77513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.