Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Surekha Kotha

Pharmacist β€’ Saint Johns, FL

Active NPI 1952693558 Individual Practitioner Female Practitioner
Practice location in NPPES

2680 Race Track Rd
Saint Johns, FL 322596278

Call 9042306718 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2680 Race Track Rd

Saint Johns, FL 322596278

Telephone 9042306718
Organization at the Same NPPES Address or Phone
Holiday Cvs Llc Facility NPI 1083718969

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Saint Johns and Florida

26 active clinicians are listed under Pharmacist with a practice address in Saint Johns, FL (19,430 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Saint Johns

0% of these 26 clinicians have the CMS telehealth indicator.

0% of these 26 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES PA RP444286

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Pharmacist

NUCC Taxonomy Code: 183500000X

License # reported to NPPES FL PS57398

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location March 15, 2023

Registered at 2680 RACE TRACK RD, SAINT JOHNS, FL 322596278 (Tel: 9042306718)

πŸ“
Updated Business Mailing Address March 15, 2023

Registered at 275 ARELLA WAY, SAINT JOHNS, FL 322591252 (Tel: 0480678149)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2023

Pharmacist (license number reported to NPPES: FL PS57398)

βœ…
NPI Profile Active May 14, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 14, 2011

Registered at 3615 E MARKET ST, YORK, PA 174022630 (Tel: 7178400204)

πŸ“
Business Mailing Address (Initial Record) May 14, 2011

Registered at 400 MARION RD, YORK, PA 174061561 (Tel: 7175057979)

πŸ‘€
Provider Name / Credentials (Initial Record) May 14, 2011

Recorded as SUREKHA KOTHA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2011

Pharmacist (license number reported to NPPES: PA RP444286)

🟒
Initial NPI Registration & Enumeration May 14, 2011

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1952693558
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2011
Last Update: March 15, 2023
Sole Proprietor: No

Other Pharmacists in Saint Johns

Mailing Address

275 Arella Way

Saint Johns, FL 322591252

Phone: 0480678149

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.