Zachery Tyler Surbeck, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

29721 Issued in NC

Practice address

1403 E Main St
Lincolnton, NC 28092-3901

Phone

(704) 735-1493

NPI assigned

Jul 10, 2020

Last updated

Jul 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1851919401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923901",
            "telephone_number": "704-735-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 E MAIN ST",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280923901",
            "telephone_number": "704-735-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURBECK",
        "first_name": "ZACHERY",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "29721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "RxConnect",
            "affiliation": "N",
            "endpointDescription": "Secure software to store/transmit patient information",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1403 E Main St",
            "city": "Lincolnton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280923901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Donald Kent Stewart IV, MD
• Robert Marion Stone III, DPT
• Jeremy Summey, PHARMD
• Support Incorporated
• Support Incorporated
• Surrender House of Lincolnton, Inc
• Brian J. Sutton, M.D.
• Jenny L Sweigard, M.D.
• John Dock Tallent, DDS
• Joshua Tallent, M.A, ED.S, LPC, NCC

• Pharmacist in Lincolnton, NC
• Providers in Lincolnton, NC by specialty
• Pharmacist in North Carolina

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