Destini Benson Rudolph

Primary specialty

PharmacistTaxonomy code 183500000X

License

23885 Issued in AL

Practice address

5947 Chalkville Mountain Rd
Birmingham, AL 35235-3354

Phone

(205) 655-5189

NPI assigned

Nov 22, 2024

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

State licenses

Practice roles

Locations

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.

• Walgreen Co

  • Pharmacy
  • Birmingham, AL
  • NPI 1588769921
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1732233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1083439194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5947 CHALKVILLE MOUNTAIN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5947 CHALKVILLE MOUNTAIN RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352353354",
            "telephone_number": "205-655-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "DESTINI",
        "middle_name": "BENSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-22",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "23885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Evan Ruddock
• Johanna Faye Rude, SRNA, BSN, RN
• Kyle Rudemiller
• Rudolph Bolling Psychiatry PC
• Tyrone Rudolph Jr. Jr., NBH-HWC
• Kelli Rue-Bachini, LICSW
• Loring Rue
• Maria Susana Rueda Altez, MD
• Michael Brant Ruff, M.D.
• Tatianya Ruffin

• Pharmacist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.