Active NPI
Tyler Surdi, PHARMD
- Pharmacist
- Greenville, NC
National Provider Identifier
1720640733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28177
- Practice address
- 3040 Evans St
Greenville, NC 27834-3176 - Phone
- (252) 355-6450
- NPI assigned
- Jul 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28177 | NC | Primary |
Addresses
Primary practice location
3040 Evans St
Greenville, NC 27834-3176
Mailing address
3040 Evans St
Greenville, NC 27834-3176
Phone (252) 355-6450
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28177 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561939200000",
"number": "1720640733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 EVANS ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343176",
"telephone_number": "252-355-6450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 EVANS ST",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343176",
"telephone_number": "252-355-6450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURDI",
"first_name": "TYLER",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-01",
"last_updated": "2019-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "28177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- Brian R Summers, D.D.S.,M.S.
- Lisa Summers
- Sunshine Theraputic Services, LLC
- Kajuan Supel, M.A, BCBA, LBA
- Supports Plus LLC
- Sure Foundation Behavioral Health Services, LLC
- Surgicenter of Eastern Carolina LLC (ECU Health SurgiCenter)
- Surgicenter Services of Pitt Inc.
- Lee A. Surkin, M.D.
- Lara Kester Surles, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.