Susan Elisabeth Fillmore, R.PH.
Individual provider Active NPI Pharmacist · Mt Sterling, OH
NPI 1760596019 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760596019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 03311834 (OH)
- Practice address
- 283 Yankeetown St
Mt Sterling, OH 43143-9410 - Phone
- (740) 869-3784
- Fax
- (740) 869-3840
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03311834 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patelrx Company, LLC | Past |
Accepting new patients | |
| Sterling Pharmacy | Pharmacist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03311834 | OH | Yes |
Addresses
Primary practice location
283 Yankeetown St
Mt Sterling, OH 43143-9410
Mailing address
1034 Lambeth Dr
Columbus, OH 43220-5075
Phone (614) 370-6902
Other providers in Mt Sterling, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.