Active NPI
Derek Kyle Dekerlegand, PHARM. D.
- Pharmacist
- Chicago, IL
National Provider Identifier
1295003309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051295466
- Practice address
- 1460 N Halsted St
Suite 101
Chicago, IL 60642-2605 - Phone
- (312) 624-9397
- NPI assigned
- Dec 2, 2011
- 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 | 051295466 | IL | Primary |
Addresses
Primary practice location
1460 N Halsted St
Suite 101
Chicago, IL 60642-2605
Mailing address
1303 W Eddy St
Unit 2
Chicago, IL 60657-1431
Phone (281) 229-2780
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 |
|---|---|---|---|
| 051295466 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1295003309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 W EDDY ST",
"address_2": "UNIT 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606571431",
"telephone_number": "281-229-2780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 N HALSTED ST",
"address_2": "SUITE 101",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606422605",
"telephone_number": "312-624-9397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEKERLEGAND",
"first_name": "DEREK",
"middle_name": "KYLE",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051295466",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.