Susan Ellen Devlen, RPH
Individual provider Active NPI Pharmacist · East Rochester, NY
NPI 1457534091 · NPPES record last updated Dec 5, 2007
Key facts
- NPI
- 1457534091
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 035006 (NY)
- Practice address
- 300 Main St
East Rochester, NY 14445-1728 - Phone
- (585) 385-1927
- NPI assigned
- Dec 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 035006 | NY | Yes |
Addresses
Primary practice location
300 Main St
East Rochester, NY 14445-1728
Mailing address
300 Main St
East Rochester, NY 14445-1728
Phone (585) 385-1927
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00446795 | Medicaid | NY |
Other providers in East Rochester, NY
- Sonya Marie Davis
- A. Maria De la Cruz
- Joseph Delgrosso
- Adam Denault
- Kristine Elizabeth Denimarck
- Heather Dietzel
- Yuliya Doobkowa
- East Rochester Union Free School Distirct
- East Rochester Union Free School District
- East Rochester Volunteer Ambulance Corps Inc.
All providers in East Rochester, NY · Pharmacist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.