Susy's Pharmacy, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH28182 Issued in FL

Legal business name

SUSY'S PHARMACY, INC.

Practice address

12887 SW 42 St
Miami, FL 33175

Phone

(786) 616-8668

Fax

(786) 616-8683

NPI assigned

Jun 2, 2014

Last updated

Feb 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Marcia Gongora, RPT55235

Title

President

Phone

(786) 797-4943

Specialties & licenses 1

Addresses

Tax ID family

Susy's Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Susys Pharmacy Inc

  dba Susy's Pharmacy

  • Community/Retail Pharmacy
  • Miami, FL
  • NPI 1740672278
  NPD tax ID

Locations

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423785600000",
    "number": "1396157897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12887 SW 42 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "786-616-8668",
            "fax_number": "786-616-8683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12887 SW 42 ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33175",
            "telephone_number": "786-616-8668",
            "fax_number": "786-616-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSY'S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-02",
        "last_updated": "2015-02-13",
        "status": "A",
        "authorized_official_last_name": "GONGORA",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-797-4943",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT55235"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH28182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Andrew Sussman, MD
• Matthew Steven Sussman, M.D.
• Todd Jason Sussman, D.C.
• Jeffrey Brett Sussmane, MD
• Sustaining Hope Center Inc
• Susys Pharmacy Inc (Susy's Pharmacy)
• Adi Suta, DMD
• Maegan Suthard
• Kyle Joseph Sutherland, MD
• Shanique Sandy Sutherland, LMT

• Community/Retail Pharmacy in Miami, FL
• Providers in Miami, FL by specialty
• Community/Retail Pharmacy in Florida

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

Verify at the official NPI Registry.