Active NPI
Susan Enterprises
- Pharmacy
- Cullman, AL
National Provider Identifier
1568453280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- 110549
- Legal business name
- SUSAN ENTERPRISES
- Doing business as
- Medical Arts Apothecary
- Practice address
- 124 7TH St SW
Cullman, AL 35055-4262 - Phone
- (256) 734-4933
- Fax
- (256) 734-2304
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Adkison, RPH
- Title
- Pharmacist Owner
- Phone
- (256) 734-4933
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 110549 | AL | Primary |
Addresses
Primary practice location
124 7TH St SW
Cullman, AL 35055-4262
Mailing address
124 7TH St SW
Cullman, AL 35055-4262
Phone (256) 734-4933
Other names 1
- Medical Arts Apothecary
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150507000137 | AL | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416171822 | Practice locations: Cullman, AL |
National Provider Directory
National Provider DirectoryLocations
124 7th St SW
Cullman, AL 35055
Phone (256) 734-4933
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Cullman, AL
- NPI 1699788257
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412726400000",
"number": "1568453280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 7TH ST SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350554262",
"telephone_number": "256-734-4933",
"fax_number": "256-734-2304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 7TH ST SW",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350554262",
"telephone_number": "256-734-4933",
"fax_number": "256-734-2304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUSAN ENTERPRISES",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2014-10-08",
"status": "A",
"authorized_official_last_name": "ADKISON",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "PHARMACIST OWNER",
"authorized_official_telephone_number": "256-734-4933",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "AL",
"license": "110549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Medical Arts Apothecary",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; 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.