Individual provider Active NPI

Kessler Derrrick, PHARMD

  • Pharmacist
  • West Columbia, SC
National Provider Identifier
1871489971
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
60594 Issued in SC
Practice address
4500 12TH Street Ext
West Columbia, SC 29172-3025
Phone
(803) 462-5005
Fax
(803) 926-0674
NPI assigned
Jun 16, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 60594 SC Primary

Addresses

Primary practice location

4500 12TH Street Ext
West Columbia, SC 29172-3025

Mailing address

4500 12TH Street Ext
West Columbia, SC 29172-3025
Phone (803) 462-5005

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

LicenseStateTypeSpecialty
60594SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Nephron SC Inc CurrentSince Jun 23, 2025 Accepting new patients
Nephron Pharmacy LLC CurrentSince Jun 23, 2025 Accepting new patients

Locations

4500 12th Street Ext
West Columbia, SC 29172
Phone (803) 462-5005

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1871489971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 12TH STREET EXT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291723025",
            "telephone_number": "803-462-5005",
            "fax_number": "803-926-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 12TH STREET EXT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291723025",
            "telephone_number": "803-462-5005",
            "fax_number": "803-926-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRRICK",
        "first_name": "KESSLER",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "60594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.