Individual provider Active NPI

Susan A Deleo

  • Pharmacist
  • Bedford, NH
National Provider Identifier
1841572708
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
R2278 Issued in NH
Practice address
15 Constitution Dr
Bedford, NH 03110-6042
Phone
(603) 472-2346
Fax
(603) 471-9356
NPI assigned
Sep 15, 2011
Last updated
Sep 15, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X R2278 NH Primary
Pharmacist 183500000X 21625 MA
Pharmacist 183500000X 033-0003874 VT
Pharmacist 183500000X 051.288217 IL

Addresses

Primary practice location

15 Constitution Dr
Bedford, NH 03110-6042

Mailing address

15 Constitution Dr
Bedford, NH 03110-6042
Phone (603) 472-2346

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

LicenseStateTypeSpecialty
051.288217ILMDPharmacist
21625MAMDPharmacist
R2278NHMDPharmacist
033-0003874VTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1841572708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106042",
            "telephone_number": "603-472-2346",
            "fax_number": "603-471-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106042",
            "telephone_number": "603-472-2346",
            "fax_number": "603-471-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEO",
        "first_name": "SUSAN",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NH",
            "license": "R2278",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "21625",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VT",
            "license": "033-0003874",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.288217",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.