Susan Diane Riles, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

E08347 Issued in MS

Practice address

1235 Main St
Southaven, MS 38671-1429

Phone

(877) 864-7952

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Susan Diane Wilkinson-Riles Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1801443114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 HIGHWAY 178 E",
            "city": "POTTS CAMP",
            "state": "MS",
            "postal_code": "386599237",
            "telephone_number": "662-544-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 MAIN ST",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711429",
            "telephone_number": "877-864-7952"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5713 Highway 178 E",
            "address_purpose": "LOCATION",
            "city": "Potts Camp",
            "state": "MS",
            "postal_code": "386599237",
            "country_code": "US",
            "telephone_number": "662-544-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RILES",
        "first_name": "SUSAN",
        "middle_name": "DIANE",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E08347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "WILKINSON-RILES",
            "middle_name": "DIANE",
            "credential": "R.PH.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Pharmacist in Southaven, MS
• Providers in Southaven, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2019; 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.