Individual provider Active NPI

Suzanne Kathryn Higginbotham, PHARMD

  • Pharmacist
  • Pittsburgh, PA
National Provider Identifier
1649400409
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP443081 Issued in PA
Practice address
1000 5TH Ave
Wellness and Disease Management Center
Pittsburgh, PA 15219-6202
Phone
(412) 396-2053
Fax
(412) 396-2161
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP443081 PA Primary
Pharmacist 183500000X 03329101 OH

Addresses

Primary practice location

1000 5TH Ave
Wellness and Disease Management Center
Pittsburgh, PA 15219-6202

Mailing address

1000 5TH Ave
Wellness and Disease Management Center
Pittsburgh, PA 15219-6202
Phone (412) 396-2053

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
03329101OHMDPharmacist
RP443081PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1649400409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 5TH AVE",
            "address_2": "WELLNESS AND DISEASE MANAGEMENT CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152196202",
            "telephone_number": "412-396-2053",
            "fax_number": "412-396-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 5TH AVE",
            "address_2": "WELLNESS AND DISEASE MANAGEMENT CENTER",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152196202",
            "telephone_number": "412-396-2053",
            "fax_number": "412-396-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINBOTHAM",
        "first_name": "SUZANNE",
        "middle_name": "KATHRYN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443081",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03329101",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.