Active NPI
Susan Marie Conroy, RPH
- Pharmacist
- Evans, GA
National Provider Identifier
1932489424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH024645
- Practice address
- 1051 Alder Way
Apt 402
Evans, GA 30809-9119 - Phone
- (574) 286-1390
- NPI assigned
- Aug 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH024645 | GA | Primary |
| Pharmacist | 183500000X | 26013670 | IN |
Addresses
Primary practice location
1051 Alder Way
Apt 402
Evans, GA 30809-9119
Mailing address
668 Main St
Thomson, GA 30824-7416
Phone (706) 595-1667
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH024645 | GA | MD | Pharmacist |
| 26013670 | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314489600000",
"number": "1932489424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "668 MAIN ST",
"city": "THOMSON",
"state": "GA",
"postal_code": "308247416",
"telephone_number": "706-595-1667",
"fax_number": "706-595-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 ALDER WAY",
"address_2": "APT 402",
"city": "EVANS",
"state": "GA",
"postal_code": "308099119",
"telephone_number": "574-286-1390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONROY",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-28",
"last_updated": "2011-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH024645",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IN",
"license": "26013670",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.