Susan Dietze, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS53751 Issued in FL

Practice address

1352 W 15TH St
Suite 8
Panama City, FL 32401-2000

Phone

(850) 873-6888

Fax

(850) 873-6163

NPI assigned

Sep 11, 2015

Last updated

Sep 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Crescent Healthcare, Inc.

  dba Crescent Healthcare

  • Home Infusion Agency
  • Santa Fe Springs, CA
  • NPI 1982219937
  NPD (past)

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441929600000",
    "number": "1902274608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 W 15TH ST",
            "address_2": "SUITE 8",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012000",
            "telephone_number": "850-873-6888",
            "fax_number": "850-873-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 W 15TH ST",
            "address_2": "SUITE 8",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012000",
            "telephone_number": "850-873-6888",
            "fax_number": "850-873-6163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETZE",
        "first_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP449251",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS53751",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "DE",
            "license": "A1-0004739",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Diah
• Emily N Dickens, M.S., BCBA
• Emmanuell Dickerson, APRN
• Alan Diep, DMD
• David R Dietrich, M.D.
• Digestive Diseases Center of Florida, PLLC (Digestive Diseases Center PA)
• Digestive Diseases Center of Florida, PLLC
• Desirae Dillman, APRN, FNP-C
• Dillon Hearing Technologies (Audibel Hearing Center)
• Jody Dillon

• Pharmacist in Panama City, FL
• Providers in Panama City, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.