James Lionel Surratt Jr., PD

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202205254 Issued in VA

Practice address

289 W Main St
Wytheville, VA 24382-2331

Phone

(276) 228-2178

Fax

(276) 228-3095

NPI assigned

Apr 10, 2020

Sex

Male

Sole proprietor

Yes

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.

• Counts Drug Company Inc

  • Community/Retail Pharmacy
  • Wytheville, VA
  • NPI 1700979135
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 10, 2020.

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1659990646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 MAPLE DR",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431217",
            "telephone_number": "276-228-2178",
            "fax_number": "276-228-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 W MAIN ST",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243822331",
            "telephone_number": "276-228-2178",
            "fax_number": "276-228-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRATT",
        "first_name": "JAMES",
        "middle_name": "LIONEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202205254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Strategic Therapy Associates, Inc.
• Benjamin Ethan Street, PHARMD
• Tracy Diane Stuart, LPC
• Kaytlin Sult
• Donna Surber, CD
• Dana L Sworsy, LCSW
• Jennifer L Tarter, FNP-C
• Beth Ann Taylor, MD
• Joshua Ryan Taylor, RBT
• Team Nurse, Inc.

• All providers in Wytheville, VA
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.