Active NPI
Susan Willett
- Pharmacist
- Wylie, TX
National Provider Identifier
1376924084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24360
- Practice address
- 921 S Westgate Way
Wylie, TX 75098-4947 - Phone
- (972) 429-4951
- NPI assigned
- Jun 18, 2015
- 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 | 24360 | TX | Primary |
Addresses
Primary practice location
921 S Westgate Way
Wylie, TX 75098-4947
Mailing address
921 S Westgate Way
Wylie, TX 75098-4947
Phone (972) 429-4951
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 |
|---|---|---|---|
| 24360 | TX | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albertsons LLC | Past | Accepting new patients | |
| Albertsons LLC | 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": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434585600000",
"number": "1376924084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 S WESTGATE WAY",
"city": "WYLIE",
"state": "TX",
"postal_code": "750984947",
"telephone_number": "972-429-4951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "921 S WESTGATE WAY",
"city": "WYLIE",
"state": "TX",
"postal_code": "750984947",
"telephone_number": "972-429-4951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLETT",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2015-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "24360",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wylie, TX
- Westerfield Wellness Clinic LLC (Westerfield Wellness Clinic)
- Tranishia K Westerfield, DC
- Westgate Dental Group PLLC (Westgate Dental)
- Brenda Jenson Weyrens, RPH
- Whole Life Family Wellness, LLC (Whole Life Chiropractic)
- Amanda N Williams
- Lauryn Williams, LCSW
- Nina Marie Williams
- Tracy Williams, ATP
- Zachary Caleb Willis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.