Diana Lynn Bandurco, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202011915 Issued in VA

Practice address

10858 Buckley Hall Rd
Mathews, VA 23109

Phone

(804) 725-2556

Fax

(804) 725-0786

NPI assigned

Mar 4, 2021

Last updated

Mar 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Christy B. Brown, Inc.

  dba Mathews Pharmacy

  • Community/Retail Pharmacy
  • Mathews, VA
  • NPI 1730265406
  NPD (past)
• Lynette R Glockner, Inc.

  dba Mathews Pharmacy

  • Community/Retail Pharmacy
  • Mathews, VA
  • NPI 1124500160
  NPD (past)

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

{
    "created_epoch": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1548855232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 CHAPEL NECK RD",
            "city": "NORTH",
            "state": "VA",
            "postal_code": "231282009",
            "telephone_number": "804-832-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10858 BUCKLEY HALL RD",
            "city": "MATHEWS",
            "state": "VA",
            "postal_code": "23109",
            "telephone_number": "804-725-2556",
            "fax_number": "804-725-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDURCO",
        "first_name": "DIANA",
        "middle_name": "LYNN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202011915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olatomi Akinola
• Ervin Anthony, MD
• Ashley Murphy LMFT LLC (Seeds of Change Counseling)
• Aurora Counseling Services PLLC
• Aurora Family Services
• Sabra M Bellovin, MD
• Christine Bott-Schmuker, M.A., LPC
• Kimberly Odel Burnett, FNP
• Shannon D Burris, NP
• Christy B. Brown, Inc. (Mathews Pharmacy)

• Pharmacist in Mathews, VA
• Providers in Mathews, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2021; 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.