Derek Alan Douglas, PHARMD
Individual provider Active NPI Pharmacist · Sterling, KS
NPI 1114745304 · NPPES record last updated Sep 27, 2024
Key facts
- NPI
- 1114745304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 1-107170 (KS)
- Practice address
- 118 S Broadway Ave Ste B
Sterling, KS 67579-2133 - Phone
- (620) 491-0938
- NPI assigned
- Sep 27, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-107170 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sterling Pharmacy Inc | Current |
Accepting new patients | |
| Sterling Pharmacy Inc | Current |
Accepting new patients |
Locations
118 S Broadway Ave
Ste B
Sterling, KS 67579
Phone (620) 278-2110
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-107170 | KS | Yes |
Addresses
Primary practice location
118 S Broadway Ave Ste B
Sterling, KS 67579-2133
Mailing address
118 S Broadway Ave Ste B
Sterling, KS 67579-2133
Phone (620) 491-0938
Other providers in Sterling, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.