Individual provider Active NPI

Nicole Elizabeth Durnin, R.PH.

  • Pharmacist
  • Holt, MI
National Provider Identifier
1598869703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302029280 Issued in MI
Practice address
2018 N. Cedar Street
Suite a
Holt, MI 48842
Phone
(517) 694-9707
Fax
(517) 694-9713
NPI assigned
Sep 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302029280 MI Primary

Addresses

Primary practice location

2018 N. Cedar Street
Suite a
Holt, MI 48842

Mailing address

2126 Tecumseh River Road
Lansing, MI 48906
Phone (517) 896-1665

Other names 1

  • Ms. Nicole Elizabeth Durnin Former name

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

LicenseStateTypeSpecialty
5302029280MIMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Holt Pharmacy Services, LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598869703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 TECUMSEH RIVER ROAD",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "48906",
            "telephone_number": "517-896-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2018 N. CEDAR STREET",
            "address_2": "SUITE A",
            "city": "HOLT",
            "state": "MI",
            "postal_code": "48842",
            "telephone_number": "517-694-9707",
            "fax_number": "517-694-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURNIN",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302029280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "DURNIN",
            "middle_name": "ELIZABETH",
            "prefix": "MS.",
            "credential": "R.PH.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Holt, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.