Individual provider Active NPI

Derek A Schenk, R.PH.

  • Pharmacist
  • Allen, TX
National Provider Identifier
1801181789
Registry record updated Jun 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
35948 Issued in TX
Practice address
150 E Stacy Rd Ste 2400
T2516
Allen, TX 75002-8756
Phone
(469) 342-2005
Fax
(469) 342-2015
NPI assigned
Jun 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 35948 TX Primary
Pharmacist 183500000X 11976 OK

Addresses

Primary practice location

150 E Stacy Rd Ste 2400
T2516
Allen, TX 75002-8756

Mailing address

150 E Stacy Rd Ste 2400
T2516
Allen, TX 75002-8756
Phone (469) 342-2005

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
35948TXMDPharmacist
11976OKMDHematology & Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308355200000",
    "number": "1801181789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E STACY RD STE 2400",
            "address_2": "T2516",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028756",
            "telephone_number": "469-342-2005",
            "fax_number": "469-342-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E STACY RD STE 2400",
            "address_2": "T2516",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750028756",
            "telephone_number": "469-342-2005",
            "fax_number": "469-342-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENK",
        "first_name": "DEREK",
        "middle_name": "A",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2011-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "35948",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "11976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.