NPIMap

Individual provider Active NPI

Susan Lillicrop, RPH

  • Pharmacist
  • Long Beach, CA
National Provider Identifier
1770883845
Registry record updated Oct 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41011 Issued in CA
Practice address
5949 E Spring St
Long Beach, CA 90808-3752
Phone
(562) 496-1851
Fax
(562) 496-1251
NPI assigned
Oct 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41011 CA Primary

Addresses

Primary practice location

5949 E Spring St
Long Beach, CA 90808-3752

Mailing address

5949 E Spring St
Long Beach, CA 90808-3752
Phone (562) 496-1851

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

LicenseStateTypeSpecialty
41011CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Vons Companies Inc Past Accepting new patients
Vons Companies Inc 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": "1287792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287792000000",
    "number": "1770883845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083752",
            "telephone_number": "562-496-1851",
            "fax_number": "562-496-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5949 E SPRING ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083752",
            "telephone_number": "562-496-1851",
            "fax_number": "562-496-1251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LILLICROP",
        "first_name": "SUSAN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-23",
        "last_updated": "2010-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "41011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2010; 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.