Individual provider Active NPI

Suzanne F Hussar, R. PH.

  • Pharmacist
  • Newtown Square, PA
National Provider Identifier
1568642809
Registry record updated Nov 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP025935L Issued in PA
Practice address
1 Boulder Creek LN
Newtown Square, PA 19073-1703
Phone
(610) 353-8262
Fax
(610) 356-2948
NPI assigned
Nov 3, 2007
Last updated
Nov 3, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP025935L PA Primary

Addresses

Primary practice location

1 Boulder Creek LN
Newtown Square, PA 19073-1703

Mailing address

1 Boulder Creek LN
Newtown Square, PA 19073-1703
Phone (610) 353-8262

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
RP025935LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1194048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194048000000",
    "number": "1568642809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 BOULDER CREEK LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731703",
            "telephone_number": "610-353-8262",
            "fax_number": "610-356-2948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BOULDER CREEK LN",
            "city": "NEWTOWN SQUARE",
            "state": "PA",
            "postal_code": "190731703",
            "telephone_number": "610-353-8262",
            "fax_number": "610-356-2948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSSAR",
        "first_name": "SUZANNE",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "R. PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-03",
        "last_updated": "2007-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP025935L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown Square, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2007; 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.