Active NPI
Susan Rose Easley
- Pharmacist
- Kenai, AK
National Provider Identifier
1811298367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1565
- Practice address
- 10576 Kenai Spur Hwy
Kenai, AK 99611-7811 - Phone
- (907) 283-6360
- Fax
- (907) 283-6319
- NPI assigned
- Nov 14, 2010
- 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 | 1565 | AK | Primary |
Addresses
Primary practice location
10576 Kenai Spur Hwy
Kenai, AK 99611-7811
Mailing address
PO Box 2659
Kenai, AK 99611-2659
Phone (907) 283-6360
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 |
|---|---|---|---|
| 1565 | AK | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289692800000",
"number": "1811298367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2659",
"city": "KENAI",
"state": "AK",
"postal_code": "996112659",
"telephone_number": "907-283-6360",
"fax_number": "907-283-6319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10576 KENAI SPUR HWY",
"city": "KENAI",
"state": "AK",
"postal_code": "996117811",
"telephone_number": "907-283-6360",
"fax_number": "907-283-6319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EASLEY",
"first_name": "SUSAN",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-14",
"last_updated": "2010-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenai, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.