Susan Jane Henderson, RPH,MBA

Primary specialty

PharmacistTaxonomy code 183500000X

License

037697 Issued in NY

Practice address

1422 S Main St
Rite Aid #665
Medina, NY 14103-9779

Phone

(585) 798-1980

Fax

(585) 798-1387

NPI assigned

Nov 13, 2007

Last updated

Feb 24, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Registered Pharmacist

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.

• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 03733

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1942480595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 SHADY OAKS CT",
            "city": "EAST AMHERST",
            "state": "NY",
            "postal_code": "140512419",
            "telephone_number": "716-636-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 S MAIN ST",
            "address_2": "RITE AID #665",
            "city": "MEDINA",
            "state": "NY",
            "postal_code": "141039779",
            "telephone_number": "585-798-1980",
            "fax_number": "585-798-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SUSAN",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RPH,MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "037697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacie Marie Guild, LMSW
• Buffie L Haley, D.P.T.
• Harry I Zirna DPM
• Carol L Heiligenthaler, PT
• Sandra Leigh Hellwig, RPH
• Amy Ann Herman, RN
• Amy Sue Herman, PHARMD.
• Peter C Igoe, DDS
• Incubizness, Inc.
• Alexis Jefferds

• Pharmacist in Medina, NY
• Providers in Medina, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.