Organization Active NPI

Surrey Center Pharmacy

  • Community/Retail Pharmacy
  • Augusta, GA
National Provider Identifier
1962452003
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SURREY CENTER PHARMACY
Practice address
483 Highland Ave
Augusta, GA 30909-3912
Phone
(706) 738-4558
Fax
(706) 738-9246
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Mr. Earl G Wright, R.PH.NPI 1033292180
Title
Owner
Phone
(706) 738-4558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

483 Highland Ave
Augusta, GA 30909-3912

Mailing address

483 Highland Ave
Augusta, GA 30909-3912
Phone (706) 738-4558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110407000759 GA Part B Supplier - Mass Immunization (Roster Biller Only) 5597886101 Practice locations: Augusta, GA

National Provider Directory

National Provider Directory

Locations

483 Highland Ave
Augusta, GA 30909
Phone (706) 738-4558

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1962452003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 HIGHLAND AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093912",
            "telephone_number": "706-738-4558",
            "fax_number": "706-738-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 HIGHLAND AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309093912",
            "telephone_number": "706-738-4558",
            "fax_number": "706-738-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURREY CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-738-4558",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.