Active NPI
Lori Jean Kearney, RPH
- Pharmacist
- Durango, CO
National Provider Identifier
1861693988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12196
- Practice address
- 575 Rivergate LN Unit 111
Durango, CO 81301-7490 - Phone
- (970) 375-7711
- Fax
- (970) 375-7722
- NPI assigned
- May 29, 2007
- Last updated
- Sep 22, 2023
- 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 | 12196 | CO | Primary |
Addresses
Primary practice location
575 Rivergate LN Unit 111
Durango, CO 81301-7490
Mailing address
760 Cherry Gulch Rd
Durango, CO 81301-6471
Phone (970) 247-8016
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 |
|---|---|---|---|
| 12196 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sano Vita Inc | Past | Accepting new patients |
Organizations & group practices 3
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": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1861693988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 CHERRY GULCH RD",
"city": "DURANGO",
"state": "CO",
"postal_code": "813016471",
"telephone_number": "970-247-8016"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 RIVERGATE LN UNIT 111",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017490",
"telephone_number": "970-375-7711",
"fax_number": "970-375-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "LORI",
"middle_name": "JEAN",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-29",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "12196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.