Individual provider Active NPI

Sunita Surapaneni

  • Pharmacist
  • Cary, NC
National Provider Identifier
1417256249
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19489 Issued in NC
Practice address
1200 NW Maynard Rd
Riteaid Pharmacy
Cary, NC 27513
Phone
(919) 469-6087
Fax
(919) 467-3747
NPI assigned
Mar 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19489 NC Primary

Addresses

Primary practice location

1200 NW Maynard Rd
Riteaid Pharmacy
Cary, NC 27513

Mailing address

1200 NW Maynard Rd
Riteaid Pharmacy
Cary, NC 27513
Phone (919) 469-6087

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

State licenses

LicenseStateTypeSpecialty
19489NCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300406400000",
    "number": "1417256249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NW MAYNARD RD",
            "address_2": "RITEAID PHARMACY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-469-6087",
            "fax_number": "919-467-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 NW MAYNARD RD",
            "address_2": "RITEAID PHARMACY",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27513",
            "telephone_number": "919-469-6087",
            "fax_number": "919-467-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURAPANENI",
        "first_name": "SUNITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "19489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; 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.