Individual provider Active NPI

Susan Elizabeth Swink, RPH

  • Pharmacist
  • Prattville, AL
National Provider Identifier
1770868671
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10310 Issued in AL
Practice address
703 South Memorial Dr
Walgreens Pharmacy
Prattville, AL 36067
Phone
(334) 361-2261
Fax
(334) 361-8524
NPI assigned
Oct 12, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10310 AL Primary

Addresses

Primary practice location

703 South Memorial Dr
Walgreens Pharmacy
Prattville, AL 36067

Mailing address

5141 Airport Rd
Millbrook, AL 36054-2620
Phone (334) 361-2261

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

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past Accepting new patients
Walgreen Co 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1770868671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 AIRPORT RD",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360542620",
            "telephone_number": "334-361-2261",
            "fax_number": "334-361-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 SOUTH MEMORIAL DR",
            "address_2": "WALGREENS PHARMACY",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "36067",
            "telephone_number": "334-361-2261",
            "fax_number": "334-361-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINK",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "10310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prattville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.