Susan F. Michaelis, RPH

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

051035587 Issued in IL

Practice address

405 W South St
Arlington Heights, IL 60005-1703

Phone

(847) 253-6422

NPI assigned

Jul 2, 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

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1972120285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 W SOUTH ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051703",
            "telephone_number": "847-253-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W SOUTH ST",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051703",
            "telephone_number": "847-253-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELIS",
        "first_name": "SUSAN",
        "middle_name": "F.",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IL",
            "license": "051035587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renamarie Miracle Miceli
• Michael Davison, PHD
• Michael F. Wilson, M.D., LLC
• Michael J Louise, DC, LTD
• Raman Michael, MD
• Elizabeth Teloh Michalowicz, OTR/L
• Michelle R Michalski
• Gary Michelsen, LCPC
• Colleen Middendorf
• Midwest Center for Posttraumatic Growth, PLLC

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Arlington Heights, IL
• Providers in Arlington Heights, IL by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.

Verify at the official NPI Registry.