Susan M Tazzi

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302024175 Issued in MI

Practice address

67181 S Main St
Richmond, MI 48062-1939

Phone

(586) 727-2781

Fax

(586) 727-3558

NPI assigned

Feb 14, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Woodward Detroit CVS, L.L.C.

  • Pharmacy
  • Richmond, MI
  • NPI 1104938034
  NPD (past)

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

{
    "created_epoch": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1689207961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67181 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621939",
            "telephone_number": "586-727-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67181 S MAIN ST",
            "city": "RICHMOND",
            "state": "MI",
            "postal_code": "480621939",
            "telephone_number": "586-727-2781",
            "fax_number": "586-727-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZZI",
        "first_name": "SUSAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302024175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Dilaura Strongarone
• Katherine Sturtevant, LPC
• Stacy Lynn Sullivan, DDS, MS
• Seth Swanson
• Monica Szczerbinski
• Patricia Tennyson
• John Raymond Tihansky
• Renee Till, LMSW
• April Tracy
• Joshua Tschiggfrey, CRNA

• Pharmacist in Richmond, MI
• Providers in Richmond, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.