Individual provider Active NPI

Susannah S Hall, PHARMD

  • Pharmacist
  • New Bern, NC
National Provider Identifier
1629282728
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
22035 Issued in NC
Practice address
1315 Tatum Dr
New Bern, NC 28560-4314
Phone
(252) 633-1599
Fax
(252) 634-9889
NPI assigned
May 9, 2007
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP439027 PA
Pharmacist 183500000X PH00040743 WA
Pharmacist 183500000X 22035 NC Primary

Addresses

Primary practice location

1315 Tatum Dr
New Bern, NC 28560-4314

Mailing address

1315 Tatum Dr
New Bern, NC 28560-4314
Phone (252) 633-1599

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RP439027PAMDPharmacist
PH00040743WAMDPharmacist
22035NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Merci Clinic Current Accepting new patients

Locations

1315 Tatum Dr
New Bern, NC 28560
Phone (252) 633-1599

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19278/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1629282728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 TATUM DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604314",
            "telephone_number": "252-633-1599",
            "fax_number": "252-634-9889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 TATUM DR",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604314",
            "telephone_number": "252-633-1599",
            "fax_number": "252-634-9889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "SUSANNAH",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP439027",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00040743",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "22035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.