Individual provider Active NPI

Suzanne Eileen Sliker, RPH

  • Pharmacist
  • Southington, CT
National Provider Identifier
1447536024
Registry record updated Oct 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7627 Issued in CT
Practice address
359 Main St
Walgreens #7641
Southington, CT 06489-4538
Phone
(860) 621-3729
Fax
(860) 621-6408
NPI assigned
Oct 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7627 CT Primary

Addresses

Primary practice location

359 Main St
Walgreens #7641
Southington, CT 06489-4538

Mailing address

148 Shweky LN
Southington, CT 06489-4142
Phone (860) 621-2624

Other names 1

  • Miss Suzanne Eileen Coppola Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1319673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319673600000",
    "number": "1447536024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 SHWEKY LN",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894142",
            "telephone_number": "860-621-2624",
            "fax_number": "860-621-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MAIN ST",
            "address_2": "WALGREENS #7641",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064894538",
            "telephone_number": "860-621-3729",
            "fax_number": "860-621-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLIKER",
        "first_name": "SUZANNE",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-27",
        "last_updated": "2011-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "7627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "COPPOLA",
            "middle_name": "EILEEN",
            "prefix": "MISS",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.