Active NPI
Victoria Lynn Durlin, RPH
- Pharmacist
- Bradford, PA
National Provider Identifier
1679790448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP041829L
- Practice address
- 102 Main St
Bradford, PA 16701-2023 - Phone
- (814) 362-3827
- NPI assigned
- Apr 20, 2007
- Sex
- Female
- Sole proprietor
- No
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 | RP041829L | PA | Primary |
Addresses
Primary practice location
102 Main St
Bradford, PA 16701-2023
Mailing address
436 Lookout St
Warren, PA 16365-1636
Phone (814) 723-2966
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 |
|---|---|---|---|
| RP041829L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ott and McHenry Pharmacy , Inc | Past | Accepting new patients | |
| Ott and McHenry Pharmacy , Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bradford, PA
- NPI 1235256157
-
- Long Term Care Pharmacy
- Bradford, PA
- NPI 1932979226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214697600000",
"number": "1679790448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 LOOKOUT ST",
"city": "WARREN",
"state": "PA",
"postal_code": "163651636",
"telephone_number": "814-723-2966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MAIN ST",
"city": "BRADFORD",
"state": "PA",
"postal_code": "167012023",
"telephone_number": "814-362-3827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURLIN",
"first_name": "VICTORIA",
"middle_name": "LYNN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2008-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP041829L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bradford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.