Active NPI
Susanna Florence Nalliah I
- Pharmacist
- Muncie, IN
National Provider Identifier
1508415225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26021190A
- Practice address
- Iu Health Ball Memorial Hospital Inpatient Pharmacy
2401 W. University Ave
Muncie, IN 47304 - Phone
- (765) 747-3412
- NPI assigned
- Sep 5, 2019
- Last updated
- Sep 5, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 26021190A | IN | Primary |
Addresses
Primary practice location
Iu Health Ball Memorial Hospital Inpatient Pharmacy
2401 W. University Ave
Muncie, IN 47304
Mailing address
Iu Health Ball Memorial Hospital Inpatient Pharmacy
2401 W. University Ave
Muncie, IN 47304
Phone (765) 747-3412
Other practice location 1
IU Health Yorktown
1420 S. Pilgrim Blvd
Yorktown, IN 47396
Phone (765) 741-2918
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | snalliah@iuhealth.org | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 26021190A | IN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1508415225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "IU HEALTH BALL MEMORIAL HOSPITAL INPATIENT PHARMACY",
"address_2": "2401 W. UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47304",
"telephone_number": "765-747-3412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "IU HEALTH BALL MEMORIAL HOSPITAL INPATIENT PHARMACY",
"address_2": "2401 W. UNIVERSITY AVE",
"city": "MUNCIE",
"state": "IN",
"postal_code": "47304",
"telephone_number": "765-747-3412"
}
],
"practiceLocations": [
{
"address_1": "IU Health Yorktown",
"address_2": "1420 S. Pilgrim Blvd",
"address_purpose": "LOCATION",
"city": "Yorktown",
"state": "IN",
"postal_code": "47396",
"country_code": "US",
"telephone_number": "765-741-2918",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NALLIAH",
"first_name": "SUSANNA",
"middle_name": "FLORENCE",
"name_suffix": "I",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-05",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26021190A",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "snalliah@iuhealth.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "IU Health Ball Memorial Hospital Inpatient pharmacy",
"address_2": "2401 W. University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "47304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Muncie, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.