Derek Christopher Joseph Jr., BS,PHARMD,RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051303024 Issued in IL

Practice address

1801 Philo Rd
Urbana, IL 61802-6015

Phone

(217) 367-2437

Fax

(217) 367-2437

NPI assigned

Aug 14, 2020

Last updated

Aug 14, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1013528785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026015",
            "telephone_number": "217-367-2437",
            "fax_number": "217-367-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 PHILO RD",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618026015",
            "telephone_number": "217-367-2437",
            "fax_number": "217-367-2437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPH",
        "first_name": "DEREK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "BS,PHARMD,RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051303024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361924025",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Soontri S Jong, M.D.
• James G Jonna II, MD
• Emily Rachelle Jordan
• Michael J Jordan, NP
• Rebecca J Josefson, MD
• Joselyn Joseph, MD
• Stacey R Joseph, MD
• Ian Taylor Justement, MD
• Sandra Kabagambe, MD
• Lilah Kahloon, MD

• Pharmacist in Urbana, IL
• Providers in Urbana, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.