Brent A Sutherland

Primary specialty

PharmacistTaxonomy code 183500000X

License

E-13686 Issued in MS

Practice address

2159 S Lamar Blvd
Oxford, MS 38655-5223

Phone

(662) 236-2222

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1164012365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BSUTHERLAND49@GMAIL.COM",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "601-214-5561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2159 S LAMAR BLVD",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555223",
            "telephone_number": "662-236-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUTHERLAND",
        "first_name": "BRENT",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-13686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS BOARD OF PHARMACY LICENSE NUMBER",
            "identifier": "E-13686",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan L. Summers, DO
• Robert Sumner, BM
• Super D Drug Acquisition Co., Inc. (Vital Care of Oxford)
• Surgery Consultants of Oxford
• Ann Elizabeth Sutherland
• Richard D Sutherlin III, CRNA
• Walker James Swaney, D.D.S.
• Katelyn Elizabeth Swinford
• Zoya Tahir, MD
• John R Tait, MD

• Pharmacist in Oxford, MS
• Providers in Oxford, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.