Susan H Ham

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY54572 Issued in CA

Legal business name

SUSAN H HAM

Doing business as

Family Medical Pharmacy

Practice address

18009 Norwalk Blvd
Artesia, CA 90701-4255

Phone

(562) 402-0500

Fax

(562) 402-0520

NPI assigned

Oct 14, 2016

Last updated

Nov 16, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Susan Ham, RPHNPI 1982972824

Title

Owner/Pic/Ao

Phone

(562) 402-0500

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Family Medical Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Ham

  • Pharmacist
  • Artesia, CA
  • NPI 1982972824
  NPD Authorized official
• Bubjung Kim

  • Pharmacist
  • Artesia, CA
  • NPI 1225818347
  NPD (past)

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

{
    "created_epoch": "1476403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479254400000",
    "number": "1548711575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18009 NORWALK BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014255",
            "telephone_number": "562-402-0500",
            "fax_number": "562-402-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18009 NORWALK BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "907014255",
            "telephone_number": "562-402-0500",
            "fax_number": "562-402-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN H HAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-14",
        "last_updated": "2016-11-16",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "562-402-0500",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY54572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164647",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Ruby Suayan, COTA/L
• Frank Brian Sue, O.D.
• Fadi Qayssar Sulioa Khoshnaw, DMD
• Sun Young Oh (Aroma Medical Supply)
• Wonsik Sung, D.C.
• Shakeel Yahiya Syed
• Onneka Taitano
• Jessica Tang, DDS
• Jeremy Tarroza
• Teletherapeutics Health Ca Corp

• Community/Retail Pharmacy in Artesia, CA
• Providers in Artesia, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.