Individual provider Active NPI

Susan L Nolen, RPH

  • Pharmacist
  • Opelika, AL
National Provider Identifier
1437423720
Registry record updated Mar 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11812 Issued in AL
Practice address
121 N 20TH St
Building #1
Opelika, AL 36801-5449
Phone
(334) 745-5756
Fax
(334) 749-2102
NPI assigned
Mar 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 11812 AL Primary

Addresses

Primary practice location

121 N 20TH St
Building #1
Opelika, AL 36801-5449

Mailing address

121 N 20TH St
Building #1
Opelika, AL 36801-5449
Phone (334) 745-5756

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
11812ALMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Pharmacy Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1330819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330819200000",
    "number": "1437423720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "address_2": "BUILDING #1",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015449",
            "telephone_number": "334-745-5756",
            "fax_number": "334-749-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N 20TH ST",
            "address_2": "BUILDING #1",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015449",
            "telephone_number": "334-745-5756",
            "fax_number": "334-749-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEN",
        "first_name": "SUSAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-04",
        "last_updated": "2012-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2012; 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.