Individual provider Active NPI

James Lionel Surratt Jr., PD

  • Pharmacist
  • Wytheville, VA
National Provider Identifier
1659990646
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202205254 VA Primary

Addresses

Primary practice location

289 W Main St
Wytheville, VA 24382-2331

Mailing address

1208 Maple Dr
Hillsville, VA 24343-1217
Phone (276) 228-2178

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
0202205254VAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Counts Drug Company Inc PastSince Apr 17, 2020 Accepting new patients

Organizations & group practices 1

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": "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": []
}

Other providers in Wytheville, VA

Sources for this page

  • 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.