Individual provider Active NPI

Prijay Surti

  • Pharmacist
  • Tallahassee, FL
National Provider Identifier
1457047326
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS55636 Issued in FL
Practice address
1624 Capital Cir NE Ste 210
Tallahassee, FL 32308-7410
Phone
(507) 654-0268
NPI assigned
Apr 13, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS55636 FL Primary

Addresses

Primary practice location

1624 Capital Cir NE Ste 210
Tallahassee, FL 32308-7410

Mailing address

1624 Capital Cir NE Ste 210
Tallahassee, FL 32308-7410

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
PS55636FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Zenith Alchemy Inc Current Accepting new patients
Zenith Care Inc PastSince Apr 16, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1457047326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 CAPITAL CIR NE STE 210",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 CAPITAL CIR NE STE 210",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087410",
            "telephone_number": "507-654-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURTI",
        "first_name": "PRIJAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS55636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.