Active NPI
Susan M Dick, PHARMD
- Pharmacist
- Kalamazoo, MI
National Provider Identifier
1679690697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302025676
- Practice address
- 601 John St
Suite M-425
Kalamazoo, MI 49007-5341 - Phone
- (269) 341-7909
- Fax
- (269) 341-7648
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302025676 | MI | Primary |
Addresses
Primary practice location
601 John St
Suite M-425
Kalamazoo, MI 49007-5341
Mailing address
3724 Kathryn St
Vicksburg, MI 49097-1520
Phone (269) 649-2259
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 |
|---|---|---|---|
| 5302025676 | MI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679690697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3724 KATHRYN ST",
"city": "VICKSBURG",
"state": "MI",
"postal_code": "490971520",
"telephone_number": "269-649-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 JOHN ST",
"address_2": "SUITE M-425",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490075341",
"telephone_number": "269-341-7909",
"fax_number": "269-341-7648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICK",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302025676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.