Active NPI
Susan Schwab Ruediger, RPH
- Pharmacist
- Sandy Lake, PA
National Provider Identifier
1730285677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP033728L
- Practice address
- 3289 S Main St
Sandy Lake, PA 16145-3739 - Phone
- (724) 376-3805
- Fax
- (724) 376-7456
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
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 | RP033728L | PA | Primary |
Addresses
Primary practice location
3289 S Main St
Sandy Lake, PA 16145-3739
Mailing address
8 Farrell Rd
Sandy Lake, PA 16145-3308
Phone (724) 376-7378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP033728L | Other | PA | STATE LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP033728L | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730285677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 FARRELL RD",
"city": "SANDY LAKE",
"state": "PA",
"postal_code": "161453308",
"telephone_number": "724-376-7378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3289 S MAIN ST",
"city": "SANDY LAKE",
"state": "PA",
"postal_code": "161453739",
"telephone_number": "724-376-3805",
"fax_number": "724-376-7456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDIGER",
"first_name": "SUSAN",
"middle_name": "SCHWAB",
"name_prefix": "Mrs.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP033728L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "RP033728L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sandy Lake, PA
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.