Active NPI
Diane A Hershline, RPH
- Pharmacist
- Mentor, OH
National Provider Identifier
1447573720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13202
- Practice address
- 9200 Mentor Ave
Mentor, OH 44060-6479 - Phone
- (440) 974-7314
- Fax
- (440) 205-8566
- NPI assigned
- Mar 1, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13202 | OH | Primary |
Addresses
Primary practice location
9200 Mentor Ave
Mentor, OH 44060-6479
Mailing address
9200 Mentor Ave
Mentor, OH 44060-6479
Phone (440) 974-7314
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13202 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267401600000",
"number": "1447573720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9200 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606479",
"telephone_number": "440-974-7314",
"fax_number": "440-205-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9200 MENTOR AVE",
"city": "MENTOR",
"state": "OH",
"postal_code": "440606479",
"telephone_number": "440-974-7314",
"fax_number": "440-205-8566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSHLINE",
"first_name": "DIANE",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-03-01",
"last_updated": "2010-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "13202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mentor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.