Denise G. Derrick

Primary specialty

PharmacistTaxonomy code 183500000X

License

9699 Issued in SC

Practice address

4079 Augusta Highway
Suite a
Gilbert, SC 29054

Phone

(803) 892-6789

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ridge LTC Pharmacy, LLC

  • Long Term Care Pharmacy
  • Gilbert, SC
  • NPI 1992293476
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1376829374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 RIDGE RD",
            "city": "LEESVILLE",
            "state": "SC",
            "postal_code": "290708013",
            "telephone_number": "803-604-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4079 AUGUSTA HIGHWAY",
            "address_2": "SUITE A",
            "city": "GILBERT",
            "state": "SC",
            "postal_code": "29054",
            "telephone_number": "803-892-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRICK",
        "first_name": "DENISE",
        "middle_name": "G.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "9699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Lynn Benton, D.C.
• Christy Bolin, RPH
• David M Braddy, MD
• Kenya A Cooper, MD
• Joshua Cox, DO
• Sandra Mitchiner Dyer, RPH
• Lisa D Emmer
• Evergreeen Counseling
• William Franklin Harmon, PT
• Victor Hill, DMD

• All providers in Gilbert, SC
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.

Verify at the official NPI Registry.