Individual provider Active NPI

Patricia Maggie Radu

  • Pharmacist
  • Durham, NC
National Provider Identifier
1659093862
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
31637 Issued in NC
Practice address
1109 W NC Highway 54
Durham, NC 27707-5548
Phone
(919) 403-8059
NPI assigned
Sep 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 31637 NC Primary

Addresses

Primary practice location

1109 W NC Highway 54
Durham, NC 27707-5548

Mailing address

808 Advancement Ave Apt 207
Durham, NC 27703-6464
Phone (814) 602-1989

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

LicenseStateTypeSpecialty
31637NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Sep 20, 2022 Accepting new patients
Walgreen Co PastSince Sep 20, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1659093862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 ADVANCEMENT AVE APT 207",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277036464",
            "telephone_number": "814-602-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075548",
            "telephone_number": "919-403-8059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADU",
        "first_name": "PATRICIA",
        "middle_name": "MAGGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2022; 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.