Active NPI
David Lee Durham, R.PH., D.PH.
- Pharmacist
- Blue Ridge, GA
National Provider Identifier
1932646262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH022769
- Practice address
- 5679 Appalachian Highway
Blue Ridge, GA 30513 - Phone
- (706) 632-5026
- Fax
- (706) 632-3968
- NPI assigned
- Jan 25, 2017
- Last updated
- Jan 25, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH022769 | GA | Primary |
| Pharmacist | 183500000X | 12002 | TN | |
| Pharmacist | 183500000X | 55769 | FL | |
| Pharmacist | 183500000X | 16320 | NC |
Addresses
Primary practice location
5679 Appalachian Highway
Blue Ridge, GA 30513
Mailing address
82 Queen's Lane
Blue Ridge, GA 30513
Phone (706) 455-1846
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55769 | FL | MD | Pharmacist |
| RPH022769 | GA | MD | Pharmacist |
| 16320 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ingles Markets Inc | 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": "1485302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485302400000",
"number": "1932646262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "82 QUEEN'S LANE",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "30513",
"telephone_number": "706-455-1846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5679 APPALACHIAN HIGHWAY",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "30513",
"telephone_number": "706-632-5026",
"fax_number": "706-632-3968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURHAM",
"first_name": "DAVID",
"middle_name": "LEE",
"credential": "R.PH., D.PH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-25",
"last_updated": "2017-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH022769",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "12002",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "55769",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "16320",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.