Active NPI
Oam Suriyamont, PHARMD
- Pharmacist
- Odessa, TX
National Provider Identifier
1346578531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 41048
- Practice address
- 1707 W 8TH St
Odessa, TX 79763-3423 - Phone
- (432) 332-8258
- NPI assigned
- Nov 26, 2009
- Last updated
- Nov 6, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 41048 | TX | Primary |
Addresses
Primary practice location
1707 W 8TH St
Odessa, TX 79763-3423
Mailing address
1707 W 8TH St
Odessa, TX 79763-3423
Phone (432) 332-8258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41048 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1259193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1346578531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 W 8TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797633423",
"telephone_number": "432-332-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 W 8TH ST",
"city": "ODESSA",
"state": "TX",
"postal_code": "797633423",
"telephone_number": "432-332-8258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURIYAMONT",
"first_name": "OAM",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-26",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "41048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Odessa, TX
- Devi Priya Suravajjala, MD
- Suresh N Gadasalli M D P a (The Healthy Heart Center)
- Suresh N. Gadasalli,M.D.,P.a.
- Suresh N. Gadasalli,M.D.,P.a.
- Suresh Prasad MD PA (Permian Internal Medicine Associates)
- Susan Van de Water, MD, PA
- Sushruta Surgical Associates PLLC
- Douglas Swiney, CRNA
- John Swope, PA-C
- Synergy Physical Therapy of Odessa LP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.