Active NPI
Susan Ablavi Seddoh, PHARMD, MS
- Pharmacist
- Liberty TWP, OH
National Provider Identifier
1629710850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03232891
- Practice address
- 5432 Woodmansee Way
Liberty TWP, OH 45011-5915 - Phone
- (216) 855-2075
- NPI assigned
- Apr 8, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS59227 | FL | |
| Pharmacist | 183500000X | 03232891 | OH | Primary |
Addresses
Primary practice location
5432 Woodmansee Way
Liberty TWP, OH 45011-5915
Mailing address
5432 Woodmansee Way
Liberty TWP, OH 45011-5915
Phone (216) 855-2075
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
- Master of Science, Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS59227 | FL | MD | Pharmacist |
| 03232891 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649376000000",
"number": "1629710850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5432 WOODMANSEE WAY",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450115915",
"telephone_number": "216-855-2075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5432 WOODMANSEE WAY",
"city": "LIBERTY TWP",
"state": "OH",
"postal_code": "450115915",
"telephone_number": "216-855-2075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDDOH",
"first_name": "SUSAN",
"middle_name": "ABLAVI",
"credential": "PHARMD, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-08",
"last_updated": "2022-04-08",
"certification_date": "2022-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS59227",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03232891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty TWP, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.