Active NPI
Magdaline Victorin, PHARM.D.
- Pharmacist
- Charlotte, NC
National Provider Identifier
1386020584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 24975
- Practice address
- 6319 Waterford Hills Dr
Apt 1312
Charlotte, NC 28269-3139 - Phone
- (980) 320-0517
- NPI assigned
- Aug 11, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 50549 | FL | |
| Pharmacist | 183500000X | 24975 | NC | Primary |
| Pharmacist | 183500000X | 7580 | FL |
Addresses
Primary practice location
6319 Waterford Hills Dr
Apt 1312
Charlotte, NC 28269-3139
Mailing address
3515 David Cox Rd
Unit 480902
Charlotte, NC 28269-2571
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 |
|---|---|---|---|
| 50549 | FL | MD | Pharmacist |
| 24975 | NC | MD | Pharmacist |
| 7580 | FL | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439251200000",
"number": "1386020584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 DAVID COX RD",
"address_2": "UNIT 480902",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282692571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6319 WATERFORD HILLS DR",
"address_2": "APT 1312",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282693139",
"telephone_number": "980-320-0517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VICTORIN",
"first_name": "MAGDALINE",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-11",
"last_updated": "2015-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "50549",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24975",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "7580",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.