Active NPI
Susan Williams Robertson
- Pharmacist
- Havelock, NC
National Provider Identifier
1861938805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11610
- Practice address
- 566 US Highway 70 W
Havelock, NC 28532-9569 - Phone
- (252) 444-0885
- Fax
- (252) 444-8736
- NPI assigned
- Jan 15, 2017
- Last updated
- Jan 15, 2017
- 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 | 11610 | NC | Primary |
Addresses
Primary practice location
566 US Highway 70 W
Havelock, NC 28532-9569
Mailing address
566 US Highway 70 W
Havelock, NC 28532-9569
Phone (252) 444-0885
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 |
|---|---|---|---|
| 11610 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
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 Wal-Mart Pharmacy 10-3825
- Community/Retail Pharmacy
- Havelock, NC
- NPI 1134301864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484438400000",
"number": "1861938805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "566 US HIGHWAY 70 W",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285329569",
"telephone_number": "252-444-0885",
"fax_number": "252-444-8736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "566 US HIGHWAY 70 W",
"city": "HAVELOCK",
"state": "NC",
"postal_code": "285329569",
"telephone_number": "252-444-0885",
"fax_number": "252-444-8736"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "SUSAN",
"middle_name": "WILLIAMS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-15",
"last_updated": "2017-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "11610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Havelock, NC
- Isabelle B Ragsdale, PH. D.
- Meredith Brooke Reagan
- Onaje George Rickerby, DMD
- River Neuse Group, LLC (Cherry Point Bay Nursing and Rehabilitation Center)
- Jason L. Roberts, LAT, ATC
- Lacey Leeann Robinson, D.D.S.
- Ryan Rebecca Rote, LCSW
- Kristina D Rowe, MD
- Angela Stoltz Savitski, RDN, LDN
- Michael James Service, FNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.