Active NPI
Derek Perry, PHARMD
- Pharmacist
- Viera, FL
National Provider Identifier
1114404241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS44328
- Practice address
- 8500 N Wickham Rd
Viera, FL 32940-6600 - Phone
- (321) 242-6778
- Fax
- (321) 242-9429
- NPI assigned
- Jul 21, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS44328 | FL | Primary |
Addresses
Primary practice location
8500 N Wickham Rd
Viera, FL 32940-6600
Mailing address
8500 N Wickham Rd
Viera, FL 32940-6600
Phone (321) 242-6778
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS44328 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532131200000",
"number": "1114404241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8500 N WICKHAM RD",
"city": "VIERA",
"state": "FL",
"postal_code": "329406600",
"telephone_number": "321-242-6778",
"fax_number": "321-242-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 N WICKHAM RD",
"city": "VIERA",
"state": "FL",
"postal_code": "329406600",
"telephone_number": "321-242-6778",
"fax_number": "321-242-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DEREK",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-07-21",
"last_updated": "2018-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS44328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Viera, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.