SUSIE IM PHARM.D
NPI 1043553274
Pharmacist in San Diego, CA

Active since April 06, 2013
17565 BLACK GRANITE DR, SAN DIEGO, CA 92127(714) 321-1030 Get Directions Write a Review

NPPES record last updated: April 6, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susie Im Pharm.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSIE IM PHARM.D (NPI 1043553274) is an individual pharmacist in San Diego, California, licensed in California (59764) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1043553274
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSUSIE IMCredential: PHARM.D
Location Address17565 BLACK GRANITE DRSan Diego, CA 92127-3615
Mailing Address17565 Black Granite DrSan Diego, CA 92127-3615 · (714) 321-1030
Sole ProprietorNo
Enumeration DateApril 6, 2013
NPI 1043553274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 59764
Definition
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.
17565 BLACK GRANITE DR, San Diego, CA 92127

Other Names 1

Former Name (1)Susie Ma

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susie Im's NPI number?

The NPI number for Susie Im is 1043553274. It was assigned to this individual provider in the NPPES registry on April 6, 2013. The provider is also known as Susie Ma.

Where is Susie Im located?

Susie Im practices at 17565 Black Granite Dr, San Diego, CA 92127. The listed phone number is (714) 321-1030.

What is Susie Im's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Susie Im was last updated on April 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.