Active NPI
Susanne Emerich
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Suwanee, GA
National Provider Identifier
1962036533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH027862
- Practice address
- 2121 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2657 - Phone
- (770) 962-1352
- Fax
- (770) 962-3709
- NPI assigned
- Feb 23, 2020
- Last updated
- Feb 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH027862 | GA | Primary |
Addresses
Primary practice location
2121 Lawrenceville Suwanee Rd
Suwanee, GA 30024-2657
Mailing address
303 Russell Rd
Lawrenceville, GA 30043-3631
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH027862 | GA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Current | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Locations
2121 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (770) 962-1352
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582416000000",
"number": "1962036533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 RUSSELL RD",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 LAWRENCEVILLE SUWANEE RD",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300242657",
"telephone_number": "770-962-1352",
"fax_number": "770-962-3709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMERICH",
"first_name": "SUSANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-23",
"last_updated": "2020-02-23",
"certification_date": "2020-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "GA",
"license": "RPH027862",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.