Active NPI
Vasilina Kochurina, PHARMD
- Pharmacist
- Chester, SC
National Provider Identifier
1366861205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13861
- Practice address
- 1691 J a Cochran Byp
Chester, SC 29706-2204 - Phone
- (803) 581-3096
- NPI assigned
- Apr 8, 2014
- Last updated
- Apr 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13861 | SC | Primary |
| Pharmacist | 183500000X | 22850 | NC |
Addresses
Primary practice location
1691 J a Cochran Byp
Chester, SC 29706-2204
Mailing address
1691 J a Cochran Byp
Chester, SC 29706-2204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13861 | Other | SC | SC PHARMACY 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 |
|---|---|---|---|
| 22850 | NC | MD | Pharmacist |
| 13861 | SC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East LP | Past | Accepting new patients | |
| Wal-Mart Stores East, LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Wal-Mart Pharmacy 10-1603
- Community/Retail Pharmacy
- Chester, SC
- NPI 1083632889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1366861205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 J A COCHRAN BYP",
"city": "CHESTER",
"state": "SC",
"postal_code": "297062204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 J A COCHRAN BYP",
"city": "CHESTER",
"state": "SC",
"postal_code": "297062204",
"telephone_number": "803-581-3096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHURINA",
"first_name": "VASILINA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-08",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "13861",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "22850",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SC PHARMACY LICENSE",
"identifier": "13861",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chester, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.