Lucille Mary Suffern, B.S, CPHT, CPT1

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

TCH16544 Issued in CA

Practice address

38256 Members Club Dr
Murrieta, CA 92563-5859

Phone

(714) 420-4326

NPI assigned

Jan 23, 2007

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

Other identifiers 3

Other names 1

• Lucille Hall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308268800000",
    "number": "1750435822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38256 MEMBERS CLUB DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635859",
            "telephone_number": "714-420-4326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38256 MEMBERS CLUB DR",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925635859",
            "telephone_number": "714-420-4326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFFERN",
        "first_name": "LUCILLE",
        "middle_name": "MARY",
        "credential": "B.S, CPHT, CPT1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "TCH16544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CENTER FOR COMPETENCY  TESTING",
            "identifier": "636053",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECH LICENSE",
            "identifier": "TCH16544",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFIED PHLEBOTOMIST DEPARTMENT OF PUBLIC HEALTH",
            "identifier": "CPT33756",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUCILLE",
            "last_name": "HALL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kalee Stubbs
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• Rachel Sturdevant
• Stacy Jean Styrcula
• Zahur-Saleh Subedar
• Nicole Sugimoto, MA
• Steven Ellis Sultan, PH.D.
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• Manu Surendran, NP

• Pharmacy Technician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Pharmacy Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.