Individual provider Active NPI

Paul Surian, RPH

  • Pharmacist
  • Philadelphia, PA
National Provider Identifier
1730727181
Registry record updated Dec 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP038014L Issued in PA
Practice address
110 W Susquehanna Ave
Philadelphia, PA 19122-1768
Phone
(215) 279-7295
Fax
(215) 279-7915
NPI assigned
Dec 17, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP038014L PA Primary

Addresses

Primary practice location

110 W Susquehanna Ave
Philadelphia, PA 19122-1768

Mailing address

317 Manor Dr
Kennett Square, PA 19348-1408
Phone (484) 886-1320

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL familyfarmacia@gmail.com

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
RP038014LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Care Plus Pharmacy Inc PastSince Dec 22, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576540800000",
    "number": "1730727181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MANOR DR",
            "city": "KENNETT SQUARE",
            "state": "PA",
            "postal_code": "193481408",
            "telephone_number": "484-886-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W SUSQUEHANNA AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191221768",
            "telephone_number": "215-279-7295",
            "fax_number": "215-279-7915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURIAN",
        "first_name": "PAUL",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP038014L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "familyfarmacia@gmail.com",
            "affiliation": "N",
            "address_1": "110 W Susquehanna Ave",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191221768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.