Individual provider Active NPI

Victoria Dunn, PHARMD

  • Compounded Sterile Preparations Pharmacist
  • Ronkonkoma, NY
National Provider Identifier
1417744293
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounded Sterile Preparations PharmacistTaxonomy code 1835C0207X
License
071734 Issued in NY
Practice address
2127 Lakeland Ave
Ronkonkoma, NY 11779-7431
Phone
(516) 676-1135
NPI assigned
Apr 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounded Sterile Preparations Pharmacist 1835C0207X 071734 NY Primary

Addresses

Primary practice location

2127 Lakeland Ave
Ronkonkoma, NY 11779-7431

Mailing address

47 Charleys PL
Bay Shore, NY 11706-8066
Phone (631) 620-2925

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

NPI Registry JSON

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

{
    "created_epoch": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1417744293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CHARLEYS PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068066",
            "telephone_number": "631-620-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2127 LAKELAND AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117797431",
            "telephone_number": "516-676-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "VICTORIA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835C0207X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Compounded Sterile Preparations",
            "state": "NY",
            "license": "071734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.