Active NPI
Festus Durugo
- Pharmacist
- Tyler, TX
National Provider Identifier
1790311231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 61368
- Practice address
- 105 Jordan Plaza Blvd
Tyler, TX 75704-2050 - Phone
- (903) 533-8122
- NPI assigned
- Mar 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 61368 | TX | Primary |
Addresses
Primary practice location
105 Jordan Plaza Blvd
Tyler, TX 75704-2050
Mailing address
1004 Hampton Dr
Forney, TX 75126-6505
Phone (201) 838-1029
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | festus.durugo@omnicare.com | ||
| Direct Messaging Address | festus.durugo@omnicare.com |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 61368 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Care of Forney | Current | Accepting new patients | |
| Omnicare Pharmacy of Texas II LP | Past | 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.
-
dba Omnicare of Amarillo
- Long Term Care Pharmacy
- Amarillo, TX
- NPI 1235168907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1790311231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1004 HAMPTON DR",
"city": "FORNEY",
"state": "TX",
"postal_code": "751266505",
"telephone_number": "201-838-1029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 JORDAN PLAZA BLVD",
"city": "TYLER",
"state": "TX",
"postal_code": "757042050",
"telephone_number": "903-533-8122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURUGO",
"first_name": "FESTUS",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-17",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "61368",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "festus.durugo@omnicare.com",
"affiliation": "N",
"address_1": "610 N Preston Rd Ste 4",
"city": "Gunter",
"state": "TX",
"country_code": "US",
"postal_code": "750584709",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "festus.durugo@omnicare.com",
"affiliation": "N",
"endpointDescription": "work email",
"address_1": "105 Jordan Plaza Blvd Ste 100",
"city": "Tyler",
"state": "TX",
"country_code": "US",
"postal_code": "757042050",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.