Active NPI
Ryan Sucharski
- Pharmacist
- Delafield, WI
National Provider Identifier
1558960336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16447-40
- Practice address
- 2863 Heritage Dr
Pharmacy
Delafield, WI 53018 - Phone
- (262) 646-3535
- NPI assigned
- Oct 22, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 16447-40 | WI | Primary |
Addresses
Primary practice location
2863 Heritage Dr
Pharmacy
Delafield, WI 53018
Mailing address
2863 Heritage Dr
Pharmacy
Delafield, WI 53018
Phone (262) 646-3535
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 |
|---|---|---|---|
| 16447-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1558960336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2863 HERITAGE DR",
"address_2": "PHARMACY",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "53018",
"telephone_number": "262-646-3535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 HERITAGE DR",
"address_2": "PHARMACY",
"city": "DELAFIELD",
"state": "WI",
"postal_code": "53018",
"telephone_number": "262-646-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUCHARSKI",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-22",
"last_updated": "2020-10-22",
"certification_date": "2020-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16447-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Delafield, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.