NPIMap

Individual provider Active NPI

Jerry M. Duren, PHARM.D.

  • Pharmacist
  • Waynesboro, TN
National Provider Identifier
1093776049
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
3411 Issued in TN
Practice address
215 Dexter L Wood Memorial Dr
Waynesboro, TN 38485-2416
Phone
(931) 722-5466
Fax
(931) 722-9495
NPI assigned
Mar 30, 2006
Last updated
Feb 22, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 3411 TN Primary

Addresses

Primary practice location

215 Dexter L Wood Memorial Dr
Waynesboro, TN 38485-2416

Mailing address

215 Dexter L Wood Memorial Dr
P. O. Box 736
Waynesboro, TN 38485-2416
Phone (931) 722-5466

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
3411TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Duren Clinical Services Current Accepting new patients
Durens Healthcare LLC Current Accepting new patients
Duren Clinical Services, LLC Current 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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329868800000",
    "number": "1093776049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 DEXTER L WOOD MEMORIAL DR",
            "address_2": "P. O. BOX 736",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852416",
            "telephone_number": "931-722-5466",
            "fax_number": "931-722-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 DEXTER L WOOD MEMORIAL DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852416",
            "telephone_number": "931-722-5466",
            "fax_number": "931-722-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUREN",
        "first_name": "JERRY",
        "middle_name": "M.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "3411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.