Active NPI
Benignus Chialafu Duru
- Pharmacist
- Baltimore, MD
National Provider Identifier
1053950253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 26991
- Practice address
- 5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126 - Phone
- (443) 251-2718
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- 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 | 26991 | MD | Primary |
Addresses
Primary practice location
5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126
Mailing address
5411 Old Frederick Rd Ste 12
Baltimore, MD 21229-2126
Phone (443) 251-2718
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | XML | Health Information Exchange (HIE) |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26991 | MD | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Villa Pharmacy LLC | Pharmacist | Current | Accepting new patients |
| Frontier Health Services LLC | Past | Accepting new patients |
Locations
5411 Old Frederick Rd
Ste 12
Baltimore, MD 21229
Phone (443) 251-2718
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.
-
- Pharmacist
- Baltimore, MD
- NPI 1063105930
-
- Community/Retail Pharmacy
- Baltimore, MD
- NPI 1235599895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578268800000",
"number": "1053950253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5411 OLD FREDERICK RD STE 12",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212292126",
"telephone_number": "443-251-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5411 OLD FREDERICK RD STE 12",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212292126",
"telephone_number": "443-251-2718"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURU",
"first_name": "BENIGNUS",
"middle_name": "CHIALAFU",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2020-01-06",
"certification_date": "2020-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "26991",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "XML",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "5411 Old Frederick Rd Ste 12",
"city": "Baltimore",
"state": "MD",
"country_code": "US",
"postal_code": "212292126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.