Individual provider Active NPI

Brian C. Surface, RPH.

  • Pharmacist
  • Conway, SC
National Provider Identifier
1659718054
Registry record updated May 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
9980 Issued in SC
Practice address
1905 Highway 544
Conway, SC 29526-9202
Phone
(843) 347-7617
NPI assigned
May 27, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 9980 SC Primary

Addresses

Primary practice location

1905 Highway 544
Conway, SC 29526-9202

Mailing address

1905 Highway 544
Conway, SC 29526-9202
Phone (843) 347-7617

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
9980SCMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1369612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369612800000",
    "number": "1659718054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 HIGHWAY 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269202",
            "telephone_number": "843-347-7617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HIGHWAY 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295269202",
            "telephone_number": "843-347-7617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURFACE",
        "first_name": "BRIAN",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-27",
        "last_updated": "2013-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2013; 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.