Active NPI
Deryck K Hill, RPH
- Pharmacist
- Cannon AFB, NM
National Provider Identifier
1881730174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042824
- Practice address
- 208 W. Casablanca Ave BLDG 1400
27 Somdg
Cannon AFB, NM 88103-5014 - Phone
- (575) 784-4028
- NPI assigned
- Jan 30, 2007
- Last updated
- Dec 2, 2010
- 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 | 042824 | NY | Primary |
Addresses
Primary practice location
208 W. Casablanca Ave BLDG 1400
27 Somdg
Cannon AFB, NM 88103-5014
Mailing address
113 Burch PL.
Clovis, NM 88101
Phone (575) 218-3905
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
| License | State | Type | Specialty |
|---|---|---|---|
| 042824 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291248000000",
"number": "1881730174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 BURCH PL.",
"city": "CLOVIS",
"state": "NM",
"postal_code": "88101",
"telephone_number": "575-218-3905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 W. CASABLANCA AVE BLDG 1400",
"address_2": "27 SOMDG",
"city": "CANNON AFB",
"state": "NM",
"postal_code": "881035014",
"telephone_number": "575-784-4028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "DERYCK",
"middle_name": "K",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2010-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cannon AFB, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.