Susan Cano
Individual provider Active NPI Pharmacist · Cedar Rapids, IA
NPI 1962799809 · NPPES record last updated Jun 29, 2011
Key facts
- NPI
- 1962799809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 18688 (IA)
- Practice address
- 3400 Edgewood Rd SW
Cedar Rapids, IA 52404-7214 - Phone
- (319) 396-4777
- NPI assigned
- Jun 29, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18688 | IA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18688 | IA | Yes |
Addresses
Primary practice location
3400 Edgewood Rd SW
Cedar Rapids, IA 52404-7214
Mailing address
3400 Edgewood Rd SW
Cedar Rapids, IA 52404-7214
Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.