Active NPI
Renee Lynn Kurdilla, PHARM D
- Pharmacist
- Grindstone, PA
National Provider Identifier
1063720449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP440957
- Practice address
- 6039 National Pike
Grindstone, PA 15442-1107 - Phone
- (724) 785-4522
- Fax
- (724) 785-2863
- NPI assigned
- Sep 20, 2010
- Last updated
- Sep 20, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP440957 | PA | Primary |
Addresses
Primary practice location
6039 National Pike
Grindstone, PA 15442-1107
Mailing address
205 Roosevelt St
Belle Vernon, PA 15012-2063
Phone (724) 929-8896
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP440957 | Other | PA | PHARMACIST STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP440957 | PA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284940800000",
"number": "1063720449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ROOSEVELT ST",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "150122063",
"telephone_number": "724-929-8896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6039 NATIONAL PIKE",
"city": "GRINDSTONE",
"state": "PA",
"postal_code": "154421107",
"telephone_number": "724-785-4522",
"fax_number": "724-785-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURDILLA",
"first_name": "RENEE",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-20",
"last_updated": "2010-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP440957",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST STATE LICENSE",
"identifier": "RP440957",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grindstone, PA
- Fayette Medical Associates Inc (The Doctors Office Brownsville)
- Fayette Physician Network
- Fayette Physician Network Inc (Fayette Physician Network- Brownsville)
- Fayette Physician Network Inc
- Adam Guzik
- Kevin Michael Lotman, DC
- Debra Neil, SLP
- Leah Nocilla, PMHNP-BC
- Amy Olesko, RN
- Gilbert B Perez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.