Suellen Datkuliak, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

03120832 Issued in OH

Practice address

1867 County Road 655
Ashland, OH 44805-9384

Phone

(419) 368-9244

NPI assigned

Sep 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1922476076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 COUNTY ROAD 655",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1867 COUNTY ROAD 655",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448059384",
            "telephone_number": "419-368-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DATKULIAK",
        "first_name": "SUELLEN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03120832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arumugham Dakshinamurthi, M.D.
• Mallory Dalessandro, AU.D.
• Leticia Damian
• Araiya Daniels
• Dasco HME, LLC
• Alexis Jordan Daum
• Ignatius David, MA, PC
• Thomas Harold Davidson, DDS
• Laura Beth Davis, FNP-C
• Robert B Davis, MD

• Pharmacist in Ashland, OH
• Providers in Ashland, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.