Derek Ryan Dean, PHARMD
Individual provider Active NPI Pharmacist · Bessemer, AL
NPI 1366719973 · NPPES record last updated Nov 28, 2011
Key facts
- NPI
- 1366719973
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 16157 (AL)
- Practice address
- 1815 9TH Ave N
Bessemer, AL 35020-3421 - Phone
- (205) 425-1757
- NPI assigned
- Nov 28, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 16157 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 16157 | AL | Yes |
Addresses
Primary practice location
1815 9TH Ave N
Bessemer, AL 35020-3421
Mailing address
206 Shades Crest Rd
Birmingham, AL 35226-1006
Phone (859) 420-3332
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 147893 | Other | AL | NABP |
Other providers in Bessemer, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2011. 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.