Active NPI
Ma Susan Eludo
- Pharmacotherapy Pharmacist
- Rancho Cordova, CA
National Provider Identifier
1851715544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- RPH68454
- Practice address
- 10655 Folsom Blvd
Rancho Cordova, CA 95670-4828 - Phone
- (916) 361-0515
- Fax
- (916) 361-0813
- NPI assigned
- Feb 14, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | RPH68454 | CA | Primary |
Addresses
Primary practice location
10655 Folsom Blvd
Rancho Cordova, CA 95670-4828
Mailing address
10655 Folsom Blvd
Rancho Cordova, CA 95670-4828
Phone (916) 361-0515
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 |
|---|---|---|---|
| RPH68454 | CA | MD | Pharmacotherapy Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Gold LLC | Current | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Long Term Care Pharmacy
- Rancho Cordova, CA
- NPI 1265990287
-
- Pharmacy
- Sacramento, CA
- NPI 1770816795
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1851715544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10655 FOLSOM BLVD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956704828",
"telephone_number": "916-361-0515",
"fax_number": "916-361-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10655 FOLSOM BLVD",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956704828",
"telephone_number": "916-361-0515",
"fax_number": "916-361-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELUDO",
"first_name": "MA SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-14",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "CA",
"license": "RPH68454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.