Organization Active NPI

Susan Enterprises

  • Pharmacy
  • Cullman, AL
National Provider Identifier
1568453280
Registry record updated Oct 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
110549 Issued in AL
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

Updated by the provider on Oct 8, 2014

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

Authorized official

Name
Ms. Susan Adkison, RPHNPI 1699788257
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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150507000137 AL Part B Supplier - Mass Immunization (Roster Biller Only) 7416171822 Practice locations: Cullman, AL

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.