Individual provider Active NPI

Jennifer Surrency, PHARMD

  • Pharmacist
  • Belle Chasse, LA
National Provider Identifier
1932464021
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17075 Issued in LA
Practice address
7902 Highway 23
Belle Chasse, LA 70037-2443
Phone
(504) 394-4444
Fax
(504) 391-0405
NPI assigned
Jul 5, 2012
Last updated
Jul 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17075 LA Primary

Addresses

Primary practice location

7902 Highway 23
Belle Chasse, LA 70037-2443

Mailing address

7902 Highway 23
Belle Chasse, LA 70037-2443
Phone (504) 394-4444

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

LicenseStateTypeSpecialty
17075LAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jabs L.L.C. Pharmacist Past 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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341446400000",
    "number": "1932464021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 HIGHWAY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372443",
            "telephone_number": "504-394-4444",
            "fax_number": "504-391-0405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 HIGHWAY 23",
            "city": "BELLE CHASSE",
            "state": "LA",
            "postal_code": "700372443",
            "telephone_number": "504-394-4444",
            "fax_number": "504-391-0405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURRENCY",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2012-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "17075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belle Chasse, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2012; 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.