Mit Manojkumar Suthar, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS61675 Issued in FL

Practice address

1773 Chandelier Cir E
Jacksonville, FL 32225-5553

Phone

(904) 329-6217

NPI assigned

Sep 29, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1417564899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1773 CHANDELIER CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255553",
            "telephone_number": "904-329-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1773 CHANDELIER CIR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322255553",
            "telephone_number": "904-329-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHAR",
        "first_name": "MIT",
        "middle_name": "MANOJKUMAR",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan W Manchester
• Andrew Jeremiah Suslak, PHARMD, JD
• Craig Bradley Sussman, M.D.
• Kristin M Suter
• Anil Suthar, LMT
• Decinthies Sutherland
• Mackenzie Sutherlin, APRN
• Regina Sutskever, DO
• Andrea Rae Sutter, MS, LAT, ATC
• Colleen K Sutter, ARNP

• Pharmacist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; 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.