Active NPI
Susannah S Hall, PHARMD
- Pharmacist
- New Bern, NC
National Provider Identifier
1629282728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22035
- 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, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| RP439027 | PA | MD | Pharmacist |
| PH00040743 | WA | MD | Pharmacist |
| 22035 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merci Clinic | Current | Accepting new patients |
Locations
1315 Tatum Dr
New Bern, NC 28560
Phone (252) 633-1599
Interoperability endpoints
- 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.
-
- Clinic Pharmacy
- New Bern, NC
- NPI 1295364305
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.