Active NPI
Susan McCann, PHARM.D.
- Pharmacist
- Vista, CA
National Provider Identifier
1720648165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 79182
- Practice address
- 1441 N Santa Fe Ave
Vista, CA 92084-3702 - Phone
- (760) 414-1681
- NPI assigned
- Jun 18, 2019
- Last updated
- Jun 18, 2019
- 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 | 79182 | CA | Primary |
Addresses
Primary practice location
1441 N Santa Fe Ave
Vista, CA 92084-3702
Mailing address
1441 N Santa Fe Ave
Vista, CA 92084-3702
Phone (760) 414-1681
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 |
|---|---|---|---|
| 79182 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Garfield Beach CVS LLC | Past | Accepting new patients | |
| Garfield Beach CVS, L.L.C. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560816000000",
"number": "1720648165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 N SANTA FE AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920843702",
"telephone_number": "760-414-1681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 N SANTA FE AVE",
"city": "VISTA",
"state": "CA",
"postal_code": "920843702",
"telephone_number": "760-414-1681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCANN",
"first_name": "SUSAN",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-18",
"last_updated": "2019-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "79182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
- Rahele Mazarei, D.O.
- McAlister Institute for Treatment & Education, Inc. (North Coastal Regional Recovery Center)
- McAlister Institute for Treatment & Education, Inc. (Vista High Teen Recovery Center)
- McAlister Institute for Treatment & Education, Inc. (Rancho Buena Vista High Teen Recovery Center)
- Krystal McCain, DBA
- Sarah McCarthy, APN
- Jennifer McCleary
- Fauzia Simjee McClure, PH.D.
- Regina M. McClure
- Jayme Lea McCormick, RADT-1
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.