Active NPI
Derrik Richard Clay, PHARMD.
- Pharmacist
- Bremerton, WA
National Provider Identifier
1700858271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4270
- Practice address
- Naval Hospital Code 053
HP-01 Boone Rd
Bremerton, WA 98312-1898 - Phone
- (360) 475-5035
- Fax
- (360) 475-4786
- NPI assigned
- Feb 7, 2006
- 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 | 4270 | ND | Primary |
Addresses
Primary practice location
Naval Hospital Code 053
HP-01 Boone Rd
Bremerton, WA 98312-1898
Mailing address
7568 Maloya LN SE
Port Orchard, WA 98367-9083
Phone (360) 475-5035
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 |
|---|---|---|---|
| 4270 | ND | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700858271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7568 MALOYA LN SE",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983679083",
"telephone_number": "360-475-5035",
"fax_number": "360-475-4786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL HOSPITAL CODE 053",
"address_2": "HP-01 BOONE RD",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983121898",
"telephone_number": "360-475-5035",
"fax_number": "360-475-4786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLAY",
"first_name": "DERRIK",
"middle_name": "RICHARD",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-07",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "4270",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.