Individual provider Active NPI

Dallin Durfee, PHARM D

  • Pharmacist
  • Payson, AZ
National Provider Identifier
1326574849
Registry record updated May 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S016173 Issued in AZ
Practice address
404 W Aero Dr
Payson, AZ 85541-5407
Phone
(928) 238-3024
Fax
(982) 468-6703
NPI assigned
May 3, 2017
Last updated
May 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S016173 AZ Primary

Addresses

Primary practice location

404 W Aero Dr
Payson, AZ 85541-5407

Mailing address

404 W Aero Dr
Payson, AZ 85541-5407
Phone (928) 238-3024

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
S016173AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1326574849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 W AERO DR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415407",
            "telephone_number": "928-238-3024",
            "fax_number": "982-468-6703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 W AERO DR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415407",
            "telephone_number": "928-238-3024",
            "fax_number": "982-468-6703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURFEE",
        "first_name": "DALLIN",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S016173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Payson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; 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.