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

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 and National Provider Directory roles.

• Christy B. Brown, Inc.

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

  • 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
• 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.

• All providers in Mathews, VA
• 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.