Individual provider Active NPI

Dianje Turner Fitzsimmons, R.PH

  • Pharmacist
  • Buffalo, WV
National Provider Identifier
1124174818
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3318 Issued in WV
Practice address
1 Sugar Maple LN
CHD Meridian Center
Buffalo, WV 25033-9430
Phone
(304) 937-7429
Fax
(304) 937-7431
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3318 WV Primary

Addresses

Primary practice location

1 Sugar Maple LN
CHD Meridian Center
Buffalo, WV 25033-9430

Mailing address

109 Rustic Highlands
Hurricane, WV 25526-9263
Phone (304) 757-3285

Other names 1

  • Mrs. Diane Turner Crouch Former name

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
3318WVMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124174818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RUSTIC HIGHLANDS",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269263",
            "telephone_number": "304-757-3285",
            "fax_number": "304-757-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR MAPLE LN",
            "address_2": "CHD MERIDIAN CENTER",
            "city": "BUFFALO",
            "state": "WV",
            "postal_code": "250339430",
            "telephone_number": "304-937-7429",
            "fax_number": "304-937-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZSIMMONS",
        "first_name": "DIANJE",
        "middle_name": "TURNER",
        "name_prefix": "Ms.",
        "credential": "R.PH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WV",
            "license": "3318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "CROUCH",
            "middle_name": "TURNER",
            "prefix": "MRS.",
            "credential": "R.PH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Buffalo, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.