Active NPI
Susan Iruku
- Pharmacist
- Woodstock, GA
National Provider Identifier
1801494356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 019209
- Practice address
- 12050 Ga-92 #112
Woodstock, GA 30189 - Phone
- (770) 591-2895
- NPI assigned
- Oct 15, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 019209 | GA | Primary |
Addresses
Primary practice location
12050 Ga-92 #112
Woodstock, GA 30189
Mailing address
504 Fairway Dr
Woodstock, GA 30189-6196
Phone (404) 668-2334
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019209 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602720000000",
"number": "1801494356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 FAIRWAY DR",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301896196",
"telephone_number": "404-668-2334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12050 GA-92 #112",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30189",
"telephone_number": "770-591-2895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IRUKU",
"first_name": "SUSAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-15",
"last_updated": "2020-10-15",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "019209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
- Integrated Healthcare of Woodstock
- Integrated Rehabilitation Specialists, Inc.
- Integrative Health Care Centers of Atlanta, LLC
- Intuitive Counseling Associates LLC
- Jennifer Erin Iroff, M.S. BCBA
- Nayyer U Islam, MD
- Kimberly A Izzo, P.T.
- J. Jeff Kincaid, DMD, Ms
- J.a.H. Enterprises, LLC
- Sarah Franze Jabbour, PH.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.