Randy Dumornay, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202217540 Issued in VA

Practice address

11458 Kings Hwy
King George, VA 22485-4200

Phone

(540) 775-2284

NPI assigned

Nov 30, 2020

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Randy Dumornay Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1336744200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "540-775-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11458 KINGS HWY",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854200",
            "telephone_number": "540-775-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMORNAY",
        "first_name": "RANDY",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-30",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202217540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "DUMORNAY",
            "prefix": "DR.",
            "credential": "RPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda Wiley Dicola, AARN
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• Aleta M Dorm, LPN
• Amber Dorsey
• Sara K Dunn, CPM, LM
• Elizabeth Withers Dzula, MSW
• Wajahat Syed Efridi, MD
• Carmelot Eliassaint, APRN
• Stephanie Dove English

• Pharmacist in King George, VA
• Providers in King George, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.