Active NPI
Jon Derringer
- Infectious Diseases Pharmacist
- Louisville, KY
National Provider Identifier
1063369239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Diseases Pharmacist
- License
- 019943
- Practice address
- 200 Abraham Flexner Way
Inpatient Pharmacy
Louisville, KY 40202-2877 - Phone
- (502) 587-2847
- Fax
- (502) 587-4970
- NPI assigned
- Mar 16, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Infectious Diseases Pharmacist | 1835I0206X | 019943 | KY | Primary |
Addresses
Primary practice location
200 Abraham Flexner Way
Inpatient Pharmacy
Louisville, KY 40202-2877
Mailing address
200 Abraham Flexner Way
Inpatient Pharmacy
Louisville, KY 40202-2877
Phone (502) 587-2847
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 |
|---|---|---|---|
| 019943 | KY | MD | Medical license number |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1063369239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ABRAHAM FLEXNER WAY",
"address_2": "INPATIENT PHARMACY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022877",
"telephone_number": "502-587-2847",
"fax_number": "502-587-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ABRAHAM FLEXNER WAY",
"address_2": "INPATIENT PHARMACY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402022877",
"telephone_number": "502-587-2847",
"fax_number": "502-587-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRINGER",
"first_name": "JON",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-03-16",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835I0206X",
"taxonomy_group": "",
"desc": "Pharmacist, Infectious Diseases",
"state": "KY",
"license": "019943",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.