Susan Lynn Ehrreich-Zankiewicz, PHARM.D,, RPH
Individual provider Active NPI Pharmacist · Seaside, CA
NPI 1649547969 · NPPES record last updated Dec 1, 2011
Key facts
- NPI
- 1649547969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 43419 (CA)
- Practice address
- 1055 Fremont Blvd
Seaside, CA 93955-5712 - Phone
- (831) 393-9231
- NPI assigned
- Dec 1, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43419 | CA | MD | Pharmacist |
| 10646 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 43419 | CA | Yes |
| Pharmacist | 183500000X | 10646 | NV |
Addresses
Primary practice location
1055 Fremont Blvd
Seaside, CA 93955-5712
Mailing address
1055 Fremont Blvd
Seaside, CA 93955-5712
Phone (831) 393-9231
Other providers in Seaside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.