Active NPI
Derek Alan Dean, PHARMD
- Pharmacist
- Madison, TN
National Provider Identifier
1962715086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 34305
- Practice address
- 2232 Gallatin Pike N
Madison, TN 37115-2000 - Phone
- (615) 859-6216
- Fax
- (615) 859-0971
- NPI assigned
- Jul 18, 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 | 34305 | TN | Primary |
Addresses
Primary practice location
2232 Gallatin Pike N
Madison, TN 37115-2000
Mailing address
2232 Gallatin Pike N
Madison, TN 37115-2000
Phone (615) 859-6216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962715086 | Other | TN | NPPES |
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 |
|---|---|---|---|
| 34305 | TN | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1525392000000",
"number": "1962715086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2232 GALLATIN PIKE N",
"city": "MADISON",
"state": "TN",
"postal_code": "371152000",
"telephone_number": "615-859-6216",
"fax_number": "615-859-0971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2232 GALLATIN PIKE N",
"city": "MADISON",
"state": "TN",
"postal_code": "371152000",
"telephone_number": "615-859-6216",
"fax_number": "615-859-0971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "DEREK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-18",
"last_updated": "2018-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "34305",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPPES",
"identifier": "1962715086",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.