Active NPI
Susan M Vanvranken, R.PH.
- Pharmacist
- Barneveld, NY
National Provider Identifier
1861674020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 043654
- Practice address
- 8052 Route 12
Barneveld, NY 13304 - Phone
- (315) 896-4601
- NPI assigned
- Nov 29, 2007
- Last updated
- Oct 30, 2023
- 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 | 043654 | NY | Primary |
Addresses
Primary practice location
8052 Route 12
Barneveld, NY 13304
Mailing address
10 Foery Dr Apt 104
Utica, NY 13501-6243
Phone (315) 525-6001
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 043654 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eckerd Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rite Aid Pharmacy 11268
- Community/Retail Pharmacy
- Virginia Beach, VA
- NPI 1982703120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1861674020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 FOERY DR APT 104",
"city": "UTICA",
"state": "NY",
"postal_code": "135016243",
"telephone_number": "315-525-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8052 ROUTE 12",
"city": "BARNEVELD",
"state": "NY",
"postal_code": "13304",
"telephone_number": "315-896-4601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANVRANKEN",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-11-29",
"last_updated": "2023-10-30",
"certification_date": "2023-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "043654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barneveld, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.