Susan A King, RPH

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

28RI01826200 Issued in NJ

Practice address

95 New Brunswick Ave # 101
Perth Amboy, NJ 08861-2294

Phone

(732) 826-0600

Fax

(732) 826-8516

NPI assigned

Jun 8, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339113600000",
    "number": "1821350596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 HOAGLAND DR",
            "city": "BELLE MEAD",
            "state": "NJ",
            "postal_code": "085025501",
            "telephone_number": "908-904-0925",
            "fax_number": "732-826-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 NEW BRUNSWICK AVE # 101",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088612294",
            "telephone_number": "732-826-0600",
            "fax_number": "732-826-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "SUSAN",
        "middle_name": "A",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "NJ",
            "license": "28RI01826200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW JERSEY LISCENCE",
            "identifier": "28RI01826200",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gurcharan Kaur Kharbanda
• Maheen Kibria, DDS
• Kidney Life, LLC
• Oon S Kim, MD
• Thomas Kincade, M.D.
• Naturaleza Kirby, LPC
• Debra Joyce Klein, MA
• Kalpana Konda, M.D.
• Michaela Kornberg
• Wije Kottahachchi, M.D.

• Pharmacotherapy Pharmacist in Perth Amboy, NJ
• Providers in Perth Amboy, NJ by specialty
• Pharmacotherapy Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.