Active NPI
Susanna Carou
- Pharmacist
- New York, NY
National Provider Identifier
1447594338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 057601
- Practice address
- 2074 Frederick Douglass Blvd
New York, NY 10026-3375 - Phone
- (212) 222-3652
- NPI assigned
- Nov 16, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | 057601 | NY | Primary |
Addresses
Primary practice location
2074 Frederick Douglass Blvd
New York, NY 10026-3375
Mailing address
2074 Frederick Douglass Blvd
New York, NY 10026-3375
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 |
|---|---|---|---|
| 057601 | NY | MD | Prosthodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Drug Shoppe LLC | Past | Accepting new patients | |
| Drug Shoppe 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 and National Provider Directory roles.
-
- Long Term Care Pharmacy
- New York, NY
- NPI 1043965031
-
- Community/Retail Pharmacy
- New York, NY
- NPI 1972652113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1353024000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353024000000",
"number": "1447594338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2074 FREDERICK DOUGLASS BLVD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100263375",
"telephone_number": "212-222-3652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAROU",
"first_name": "SUSANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-16",
"last_updated": "2012-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "057601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.