Suzanne Pharmacy Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051289499 Issued in IL

Legal business name

SUZANNE PHARMACY INC.

Practice address

4647 W 103Rd St
Ste Il-a
Oak Lawn, IL 60453-4779

Phone

(708) 774-9944

NPI assigned

Jan 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Bassel Joudeh, PHARMDNPI 1083760383

Title

Pharmacist-in-Charge

Phone

(708) 774-9944

Specialties & licenses 1

Addresses

Tax ID family

Crescent Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Suzanne Pharmacy Inc.

  • Community/Retail Pharmacy
  • Oak Lawn, IL
  • NPI 1528429909
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bassel Y Joudeh

  • Pharmacist
  • Orland Park, IL
  • NPI 1083760383
  NPD Authorized official

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1871959247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "STE IL-A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4647 W 103RD ST",
            "address_2": "STE IL-A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534779",
            "telephone_number": "708-774-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "JOUDEH",
        "authorized_official_first_name": "BASSEL",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "708-774-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051289499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parimal K Sura, M.D.
• Surgery Center of Illinois LLC
• Surgical Partners
• Susan C Apolinario
• Suzanne Pharmacy Inc.
• Mary E Swanson, MOT, OTR/L
• Jill Sweeney, OTR/L
• Robert Sweet, D.P.T
• Rochelle Tayel Sweis
• Rolla Tayel Sweis, PHARMD

• Pharmacist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; 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.