Individual provider Active NPI

Susan Ann Rodack, RPH

  • Pharmacist
  • Saxonburg, PA
National Provider Identifier
1548774136
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP030303L Issued in PA
Practice address
115 Pittsburgh St
Saxonburg, PA 16056-9563
Phone
(724) 352-3000
NPI assigned
Nov 19, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP030303L PA Primary

Addresses

Primary practice location

115 Pittsburgh St
Saxonburg, PA 16056-9563

Mailing address

143 David Dr
Butler, PA 16001-2730
Phone (724) 282-0125

Other practice location 1

201 E Main St
Evans City, PA 16033-1219
Phone (724) 538-4240

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
RP030303LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Evans City Drug Store Inc Past Accepting new patients
Charles Trainor Corporation Past Accepting new patients
Grove City Pharmacy, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1548774136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 DAVID DR",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012730",
            "telephone_number": "724-282-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PITTSBURGH ST",
            "city": "SAXONBURG",
            "state": "PA",
            "postal_code": "160569563",
            "telephone_number": "724-352-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 E Main St",
            "address_purpose": "LOCATION",
            "city": "Evans City",
            "state": "PA",
            "postal_code": "160331219",
            "country_code": "US",
            "telephone_number": "724-538-4240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODACK",
        "first_name": "SUSAN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP030303L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saxonburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.