Individual provider Active NPI

Susan Kathleen Werner Huck, R.PH.

  • Pharmacist
  • Dayton, OH
National Provider Identifier
1528359155
Registry record updated Apr 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03314376 Issued in OH
Practice address
1158 Wilmington Ave
Dayton, OH 45420-1662
Phone
(937) 252-9894
Fax
(937) 256-8062
NPI assigned
Apr 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 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 03314376 OH Primary

Addresses

Primary practice location

1158 Wilmington Ave
Dayton, OH 45420-1662

Mailing address

2900 Meadow Park Dr
Kettering, OH 45440-1421
Phone (937) 296-1435

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

State licenses

LicenseStateTypeSpecialty
03314376OHMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Rite Aid of Ohio Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1304121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304121600000",
    "number": "1528359155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 MEADOW PARK DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454401421",
            "telephone_number": "937-296-1435",
            "fax_number": "937-296-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 WILMINGTON AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201662",
            "telephone_number": "937-252-9894",
            "fax_number": "937-256-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERNER HUCK",
        "first_name": "SUSAN",
        "middle_name": "KATHLEEN",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-30",
        "last_updated": "2011-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03314376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.