Suburban Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002490 Issued in VA

Legal business name

SUBURBAN PHARMACY INC

Doing business as

suburban pharmacy

Practice address

3701 King St
Portsmouth, VA 23707-3115

Phone

(757) 397-2377

Fax

(757) 399-2013

NPI assigned

Dec 18, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sunil Kandregula

Title

Manager

Phone

(757) 397-2377

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• suburban pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Stephenson Brown, PHARM.D,

  • Pharmacist
  • Portsmouth, VA
  • NPI 1386898179
  NPD (past)
• David W Stephenson, RPH

  • Pharmacist
  • Portsmouth, VA
  • NPI 1871588038
  NPD (past)

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1073676698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 KING ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073115",
            "telephone_number": "757-397-2377",
            "fax_number": "757-399-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 KING ST",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073115",
            "telephone_number": "757-397-2377",
            "fax_number": "757-399-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "KANDREGULA",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "757-397-2377"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2149751",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "suburban pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gina B Stukes
• Madelaine Mills Sturgill, MD
• Tyler Dean Sturgill, MD
• Luke Chandler Suber
• Thomas Michael Sublett, DO
• Lucas Vincent Suder, MD
• Suffolk United, Inc
• Eric Francis Sulava
• Sean Sullivan, MD
• Dylan Summers, PA-C

• Community/Retail Pharmacy in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.