Ossy Sutjita

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024907 Issued in AZ

Practice address

1616 E Thomas Rd
Phoenix, AZ 85016-7602

Phone

(022) 638-3076

NPI assigned

Dec 5, 2020

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

State licenses

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

{
    "created_epoch": "1607126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681776000000",
    "number": "1962008052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7701 W SAINT JOHN RD APT 2078",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088632",
            "telephone_number": "951-231-8202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 E THOMAS RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167602",
            "telephone_number": "022-638-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTJITA",
        "first_name": "OSSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-05",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Susman, DMD
• Judith G Sussman
• Christine M Susuras, P.A.-C.
• John Sutherland, MD
• Kyle Sutherland
• Amber Christine Sutter, RN
• Janine Sutter, FNP
• Grace Sutton, PA-C
• Jennifer Dawn Sutton, FNP
• Nicholas Sutton, DPT

• Pharmacist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.