Organization Active NPI

Geriatrx

  • Pharmacy
  • Durham, NC
National Provider Identifier
1720692908
Registry record updated Sep 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
GERIATRX
Practice address
1655 Snowmass Way
Durham, NC 27713-4514
Phone
(404) 484-5092
NPI assigned
Sep 3, 2020
Last updated
Sep 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2020

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

Authorized official

Name
Dr. Delon Mark Canterbury, PHARMDNPI 1598157091
Title
Ceo/President
Phone
(404) 484-5092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

1655 Snowmass Way
Durham, NC 27713-4514

Mailing address

6409 Fayetteville Rd Ste 120-218
Durham, NC 27713-6297
Phone (404) 484-5092

National Provider Directory

National Provider Directory

Locations

6409 Fayetteville Rd
Ste 120218
Durham, NC 27713

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1720692908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6409 FAYETTEVILLE RD STE 120-218",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136297",
            "telephone_number": "404-484-5092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SNOWMASS WAY",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277134514",
            "telephone_number": "404-484-5092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRX",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-09-03",
        "status": "A",
        "authorized_official_last_name": "CANTERBURY",
        "authorized_official_first_name": "DELON",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "404-484-5092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "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 3, 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.

Verify at the official NPI Registry.