SUSAN EDSALL (NPI# 1609289453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609289453 |
| Entity Type | Individual |
| Full Name | SUSAN EDSALL |
| Practice Address |
411 E Oak Canton OK 73724 |
| Mailing Address |
Po Box 811 Canton OK 73724-0811 |
| Practice Telephone | 5808864323 |
| Practice Fax Number | 5808862652 |
| Mailing Telephone | 5808864323 |
| Mailing Fax Number | 5808862652 |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11930 | OK | Pharmacy Service Providers |
| Street Address |
411 E OAK |
| City | CANTON |
| State | OK |
| Zip Code | 73724 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911863 | Lori Marie White | Registered Nurse | 101 B. Main Street, Canton, OK 73724 | 2020-01-17 |
| 1083197206 | Sandra Denise Winn | Mastectomy Fitter | 64594 N 2514 Road, Canton, OK 73724 | 2018-09-13 |
| 1023433299 | Beth Holderby Acre | Nurse Practitioner | 310 E. Walnut Street, Canton, OK 73724 | 2014-02-25 |
| 1396182069 | Rebecca Carol Johnson | Community Health Worker | 311 West Main St, Canton, OK 73724 | 2013-06-04 |
| 1700121498 | Sarah Anne Pierce | Behavioral Analyst | 311 W. Main, Canton, OK 73724 | 2012-12-06 |
| 1083974869 | Melinda Miles | Case Manager/Care Coordinator | 311 W. Main Street, Canton, OK 73724 | 2012-05-25 |
| 1932394236 | Yco Clinton, Inc. | Community/Behavioral Health | 311 West Main Street, Canton, OK 73724 | 2007-09-10 |
| 1134202187 | Thomas Drug Inc | Pharmacy | 212 W Main, Canton, OK 73724 | 2006-10-23 |
| 1427593409 | Great Salt Plains Health Center | Clinic/Center | 310 E. Walnut Street, Canton, OK 73724 | 2016-12-29 |
| 1760652788 | Bethany D'ann Armentrout | Counselor | 311 West Main Street, Canton, OK 73724 | 2008-03-05 |
| Find all providers in zip 73724 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750551 | Anamiben R Patel | Pharmacist | 45555 Michigan Ave, Canton, MI 48188-2388 | 2020-11-04 |
| 1467084343 | Syed Ashraf Ali Shah | Pharmacist | 385 Westbourne Ct, Canton, MI 48188-4718 | 2020-02-07 |
| 1427680503 | Gracy Mathai-mathews | Pharmacist | 770 Pheasant Woods Dr, Canton, MI 48188-5224 | 2020-02-06 |
| 1962059378 | Catherine Lynn Denner | Pharmacist | 330 Oak Hill Ln, Canton, GA 30115-5433 | 2019-08-20 |
| 1427601806 | Tarek Mazloum | Pharmacist | 3815 Herbey St, Canton, MI 48188-2421 | 2019-07-24 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1063978260 | Jordan Richard Wanner | Pharmacist | 4615 Middlebranch Ave Ne, Canton, OH 44705-2960 | 2019-02-13 |
| 1861972333 | Brittany Carin Yu | Pharmacist | 2512 Tuscarawas St W, Canton, OH 44708-4702 | 2018-08-15 |
| 1598256364 | Austin Tull | Pharmacist | 2260 Holly Springs Pkwy Ste 180, Canton, GA 30115-9580 | 2018-05-28 |
| 1518491513 | Jerry Sherwin Vidis | Pharmacist | 41092 Northwind Dr, Canton, MI 48188-3115 | 2017-04-17 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.