Suzan Nusseibeh, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

123808 Issued in MN

Practice address

3470 River Rapids Dr NW
Coon Rapids, MN 55448-4101

Phone

(763) 427-1156

NPI assigned

Dec 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

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Coon Rapids, MN
  • NPI 1437165800
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1982209391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 CREEKWOOD DR N",
            "city": "CHAMPLIN",
            "state": "MN",
            "postal_code": "553161650",
            "telephone_number": "763-291-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3470 RIVER RAPIDS DR NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554484101",
            "telephone_number": "763-427-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSEIBEH",
        "first_name": "SUZAN",
        "name_prefix": "Mrs.",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "123808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Novack
• Leah Marie Novak, DO
• Alycia Novotny, MA
• Nucleus Clinic
• Nura PLLC
• Kenneth Nwachi
• Chinwe Ann Nwachukwu
• Risper Kemunto Nyaboga
• O.L.F. Transportation Services
• Makenzie Elizabeth O'Connell

• Pharmacist in Coon Rapids, MN
• Providers in Coon Rapids, MN by specialty
• Pharmacist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 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.