Suzannah Cartinhour Shouse

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

011100 Issued in KY

Practice address

300 Brighton Park Blvd.
Frankfort, KY 40601

Phone

(502) 695-0918

Fax

(502) 695-2606

NPI assigned

Jan 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1629609417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 BRIGHTON PARK BLVD.",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "40601",
            "telephone_number": "502-695-0918",
            "fax_number": "502-695-2606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 BRIGHTON PARK BLVD.",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "40601",
            "telephone_number": "502-695-0918",
            "fax_number": "502-695-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUSE",
        "first_name": "SUZANNAH",
        "middle_name": "CARTINHOUR",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "KY",
            "license": "011100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "suzannah.shouse@stores.kroger.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "300 Brighton Park Blvd.",
            "city": "Frankfort",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chasity Sue Short
• Nicholas Hunter Short
• Matthew Shoulders, KCSA
• Amy C Shouse
• Bryan A. Shouse, M.D.
• Donnya Gayle Shryock, APRN
• David W Sihau, MD
• Angela DW Simmons, LCSW
• Melinda B. Simpson,, LCSW, LLC
• Kabir Singh, DDS

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Frankfort, KY
• Providers in Frankfort, KY by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; 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.