Susan Elizabeth Polifko, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP440336 Issued in PA

Practice address

322 S Hancock Street
McAdoo, PA 18237

Phone

(570) 929-1130

NPI assigned

Jan 31, 2021

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

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 and National Provider Directory roles.

• Debalko'S Pharmacy Inc

  • Community/Retail Pharmacy
  • McAdoo, PA
  • NPI 1134179435
  NPD (past)
• Debalkos Pharmacy Inc

  • Prosthetic/Orthotic Supplier
  • McAdoo, PA
  • NPI 1063465383
  NPD (past)

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

{
    "created_epoch": "1612051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612051200000",
    "number": "1922699172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 TEEN BARNES ROAD",
            "city": "JEFFERSON",
            "state": "MD",
            "postal_code": "21755",
            "telephone_number": "570-956-3866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 S HANCOCK STREET",
            "city": "MCADOO",
            "state": "PA",
            "postal_code": "18237",
            "telephone_number": "570-929-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIFKO",
        "first_name": "SUSAN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-31",
        "last_updated": "2021-01-31",
        "certification_date": "2021-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP440336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McAdoo Fire Company Ambulance Association, Inc
• Stacey L Mika, MS, BCBA
• Mobility Distributing, Inc.
• More Mobililty, Inc.
• Northeast Counseling Services
• Lynda J Reimiller, R.PH.
• Gabriel Isaac Snyder
• Andrea Ulshafer, PA-C
• Adam C Welch, PHARMD
• Kiaeem White

• Pharmacist in McAdoo, PA
• Providers in McAdoo, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2021; 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.