Active NPI
Odirichukwu Obiajuru Duru, PHARMD, BCGP
- Pharmacist
- Decatur, GA
National Provider Identifier
1659938025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH032687
- Practice address
- 1670 Clairmont Rd # 119
Decatur, GA 30033-4004 - Phone
- (404) 321-6111
- NPI assigned
- May 21, 2019
- Last updated
- Apr 1, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH0016793 | OR | |
| Pharmacist | 183500000X | RPH032687 | GA | Primary |
Addresses
Primary practice location
1670 Clairmont Rd # 119
Decatur, GA 30033-4004
Mailing address
1670 Clairmont Rd # 119
Decatur, GA 30033-4004
Other practice location 1
439 Highland Ave NE
Atlanta, GA 30312-1321
Phone (404) 230-9385
Other practice location 2
5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764
Phone (678) 843-7001
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
| License | State | Type | Specialty |
|---|---|---|---|
| RPH032687 | GA | MD | Pharmacist |
| RPH0016793 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia CVS Pharmacy L.L.C | Past | Accepting new patients |
Organizations & group practices 1
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": "1558396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617235200000",
"number": "1659938025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD # 119",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1670 CLAIRMONT RD # 119",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334004",
"telephone_number": "404-321-6111"
}
],
"practiceLocations": [
{
"address_1": "439 Highland Ave NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303121321",
"country_code": "US",
"telephone_number": "404-230-9385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5665 Peachtree Dunwoody Rd",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303421764",
"country_code": "US",
"telephone_number": "678-843-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURU",
"first_name": "ODIRICHUKWU",
"middle_name": "OBIAJURU",
"credential": "PHARMD, BCGP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-21",
"last_updated": "2021-04-01",
"certification_date": "2021-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH0016793",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH032687",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.