Individual provider Active NPI

Susan Denise Hannay

  • Pharmacist
  • Charlotte, NC
National Provider Identifier
1538447206
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
11408 Issued in NC
Practice address
9308 Kendall Dr
Charlotte, NC 28214-8737
Phone
(704) 399-0416
Fax
(704) 398-2116
NPI assigned
Jul 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 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 11408 NC Primary

Addresses

Primary practice location

9308 Kendall Dr
Charlotte, NC 28214-8737

Mailing address

9308 Kendall Dr
Charlotte, NC 28214-8737
Phone (704) 399-0416

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

LicenseStateTypeSpecialty
11408NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311897600000",
    "number": "1538447206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9308 KENDALL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148737",
            "telephone_number": "704-399-0416",
            "fax_number": "704-398-2116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9308 KENDALL DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282148737",
            "telephone_number": "704-399-0416",
            "fax_number": "704-398-2116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNAY",
        "first_name": "SUSAN",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "11408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.