SUSANA YUSUPOV
NPI 1326683277
Pharmacist in Brick, NJ

Active since November 14, 2019
989 BURNT TAVERN RD STE 2, BRICK, NJ 08724(732) 836-3049 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 8, 2020, Nov 14, 2019 (2 updates tracked since 2019).

About Susana Yusupov NPPES

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

SUSANA YUSUPOV (NPI 1326683277) is an individual pharmacist in Brick, New Jersey, licensed in New Jersey (28RI03839000) and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1326683277
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSUSANA YUSUPOV
Location Address989 BURNT TAVERN RD STE 2Brick, NJ 08724-2014
Mailing Address1154 Aster DrToms River, NJ 08753-1303 · (201) 989-7382
Sole ProprietorNo
Enumeration DateNovember 14, 2019
Last NPPES UpdateDecember 8, 20202 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
NPI 1326683277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in NJ · 28RI03839000
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.

989 BURNT TAVERN RD STE 2, Brick, NJ 08724

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
989 BURNT TAVERN RD STE 2
BRICK, NJ 08724
Nurse Practitioner (Family)
989 BURNT TAVERN RD STE 2
BRICK, NJ 08724
Nurse Practitioner (Family)
989 BURNT TAVERN RD STE 2
BRICK, NJ 08724
Nurse Practitioner (Family)
989 BURNT TAVERN RD STE 2
BRICK, NJ 08724
Pharmacist
989 BURNT TAVERN RD STE 2
BRICK, NJ 08724

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1326683277, enumerated as an "individual" on November 14, 2019.

The provider is located at 989 BURNT TAVERN RD STE 2 BRICK, NJ 08724 and the phone number is (732) 836-3049.

Pharmacist with taxonomy code 183500000X.