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Dr. Dudley Alvin Demarest , BPHARM, MBA, PhD

Pharmacist β€’ Baltimore, MD

Active NPI 1023230943 Individual Practitioner Male Practitioner
Practice location in NPPES

4624 Edmondson Ave
Baltimore, MD 212291407

Call 4103621375 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4624 Edmondson Ave

Baltimore, MD 212291407

Telephone 4103621375
Organization at the Same NPPES Address or Phone
Giant Of Maryland Llc Facility NPI 1679508634

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Baltimore, MD. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Baltimore and Maryland

958 active clinicians are listed under Pharmacist with a practice address in Baltimore, MD (5,643 in Maryland).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Baltimore

0% of these 958 clinicians have the CMS telehealth indicator.

0% of these 958 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-11-11
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MD MD09795

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Maryland Board of Physicians.
Look Up on State Board Site

Secondary Practice Locations

5457 Baltimore National Pike

Baltimore, MD 21229

Phone: 4108690223

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location November 11, 2020

Registered at 4624 EDMONDSON AVE, BALTIMORE, MD 212291407 (Tel: 4103621375)

πŸ“
Updated Business Mailing Address November 11, 2020

Registered at 4624 EDMONDSON AVE, BALTIMORE, MD 212291407 (Tel: 4103621375)

🏒
Secondary Practice Location Registered November 11, 2020

Additional practice office at 5457 Baltimore National Pike, Baltimore, MD 21229

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 5457 BALTIMORE NATIONAL PIKE, BALTIMORE, MD 21229 (Tel: 4108690223)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1711 FREDERICK RD, CATONSVILLE, MD 21228 (Tel: 4107889776)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as DUDLEY DEMAREST, BPHARM, MBA, PHD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: MD MD09795)

🟒
Initial NPI Registration & Enumeration May 02, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1023230943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 02, 2007
Last Update: November 11, 2020
Sole Proprietor: Yes

Other Pharmacists in Baltimore

All Pharmacists in Baltimore

Mailing Address

4624 Edmondson Ave

Baltimore, MD 212291407

Phone: 4103621375

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.