Active NPI
Suzanne Weber, RPH
- Pharmacist
- Sonora, CA
National Provider Identifier
1861865917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 55757
- Practice address
- 900 Greenley Rd Ste 912
Sonora, CA 95370-5287 - Phone
- (209) 536-3700
- NPI assigned
- Nov 10, 2015
- Last updated
- Apr 1, 2025
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55757 | CA | Primary |
Addresses
Primary practice location
900 Greenley Rd Ste 912
Sonora, CA 95370-5287
Mailing address
9619 Gray Fox CT
Oakdale, CA 95361-9481
Phone (209) 483-1619
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 |
|---|---|---|---|
| 55757 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Sonora Community Hospital | Past | Accepting new patients | |
| Longs Drug Store California LLC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Sonora, CA
- NPI 1609836634
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1861865917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9619 GRAY FOX CT",
"city": "OAKDALE",
"state": "CA",
"postal_code": "953619481",
"telephone_number": "209-483-1619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 GREENLEY RD STE 912",
"city": "SONORA",
"state": "CA",
"postal_code": "953705287",
"telephone_number": "209-536-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBER",
"first_name": "SUZANNE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-10",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "55757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sonora, CA
- Travis Wassermann, MD
- Daniel O'Neil Watson, D.C.
- Janet Watson, R.N. PHN IBCLC
- Lori Marie Watson
- Faith A Weatheral-Block
- Jiandong Wei, MD
- Loretta F West, LMFT
- Donald Westbie, M.D.
- Western Health Resources (Adventist Health Home Care Services)
- Western Health Resources (Adventist Health Home Care Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.