Active NPI
Lucas Derrough, PHARM.D.
- Pharmacist
- Rogers, AR
National Provider Identifier
1366048522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD13185
- Practice address
- 103 N Dixieland Rd
Rogers, AR 72756-3203 - Phone
- (479) 631-0210
- NPI assigned
- Dec 11, 2020
- 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 | PD13185 | AR | Primary |
Addresses
Primary practice location
103 N Dixieland Rd
Rogers, AR 72756-3203
Mailing address
903 Charing Cross
Cave Springs, AR 72718-5511
Phone (903) 826-9410
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 |
|---|---|---|---|
| PD13185 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607644800000",
"number": "1366048522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 CHARING CROSS",
"city": "CAVE SPRINGS",
"state": "AR",
"postal_code": "727185511",
"telephone_number": "903-826-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N DIXIELAND RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727563203",
"telephone_number": "479-631-0210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERROUGH",
"first_name": "LUCAS",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-11",
"last_updated": "2020-12-11",
"certification_date": "2020-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD13185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.