Eric T Suen

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

1-14046 Issued in KS

Practice address

4645 Shawnee Dr
Kansas City, KS 66106-3648

Phone

(913) 236-4000

NPI assigned

Dec 4, 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

State licenses

Practice roles

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.

• Kansas CVS Pharmacy, L.L.C

  • Pharmacy
  • Gardner, KS
  • NPI 1962914838
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1497350615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4645 SHAWNEE DR",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063648",
            "telephone_number": "913-236-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4645 SHAWNEE DR",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661063648",
            "telephone_number": "913-236-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUEN",
        "first_name": "ERIC",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KS",
            "license": "1-14046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanner Reid Stumpe, MD
• Serena Joy Stutzman, ARNP
• Michele Sublette
• Praveen Subramanian
• Substance Abuse Center of East Kansas
• Carol J Sullivan, LSCSW
• Darcy Sullivan, PA-C
• Lauren Elizabeth Sullivan, MD
• Michael Sullivan, MD
• Peter J Sullivan, DO

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kansas City, KS
• Providers in Kansas City, KS by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kansas

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