DEREK SMITH (NPI# 1386066082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386066082 |
| Entity Type | Individual |
| Full Name | DEREK SMITH |
| Credential | PHARMD |
| Practice Address |
727 E Main St Havana IL 62644-1530 |
| Practice Telephone | 3093386735 |
| Mailing Telephone | 3093386735 |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 053296617 | IL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496110 | Derek Jenkins Smith | Home Health Aide | 2514 24th St Ne, Washington, DC 20018-2126 | 2020-01-10 |
| 1922511765 | Derek Smith | Counselor | 1317 Wilmer Ave Ste 102, Anniston, AL 36201-4600 | 2017-11-15 |
| 1871049437 | Derek Anthony Smith | Physical Therapist | 89135, 10550 W Park Run Dr, Las Vegas, NV 89144 | 2016-09-01 |
| 1518375682 | Derek Smith | Chiropractor | 809 Iroquois Cir, Baraboo, WI 53913-1248 | 2014-08-01 |
| 1730522863 | Derek K Smith | Student in an Organized Health Care Education/Training Program | 2025 Morse Avenue 1east Rm#6, Sacramento, CA 95825 | 2013-04-08 |
| 1346582525 | Derek Beeson Smith | Orthopaedic Surgery | 1140 Sw Simpson Ave Ste 100, Bend, OR 97702 | 2013-03-26 |
| 1780937961 | Derek Smith | Physical Therapist | 7405 W Arizona Pl, Lakewood, CO 80232-5416 | 2012-10-24 |
| 1407869019 | Derek R Smith | Psychiatry & Neurology | One Towne Park Plaza, Norwich, CT 06360 | 2006-08-14 |
| 1689298861 | Derek Nathaniel Smith | Nurse Anesthetist, Certified Registered | 1 Medical Village Dr, Edgewood, KY 41017-3403 | 2020-06-03 |
| 1255981601 | Derek Smith | Nurse Practitioner | 3601 4th St, Lubbock, TX 79430-0002 | 2019-09-18 |
| Street Address |
727 E MAIN ST |
| City | HAVANA |
| State | IL |
| Zip Code | 62644-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982771218 | Mason County Health Department | Clinic/Center | 1002 East Laurel Avenue, Havana, IL 62644 | 2006-11-30 |
| 1346206315 | Havana Hco, LLC | Skilled Nursing Facility | 609 N Harpham St, Havana, IL 62644 | 2006-04-26 |
| 1902849649 | Mason Hospital District | General Acute Care Hospital | 615 N Promenade St, Havana, IL 62644-1015 | 2006-06-13 |
| 1356307433 | Bruce Schultz | Family Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-26 |
| 1245296979 | Tad A Yetter | Internal Medicine | 615 N Promenade St, Havana, IL 62644-1015 | 2006-04-21 |
| 1427561489 | Brandi Nicole Behymer | Nurse's Aide | 320 N Plum St, Havana, IL 62644-1127 | 2017-11-13 |
| 1225032071 | R & Q Corporation | Pharmacy | 201 W Main St, Havana, IL 62644-1137 | 2005-06-09 |
| 1639655616 | Home Dialysis Therapies, Inc | Clinic/Center | 216 W Main St, Havana, IL 62644-1138 | 2018-07-12 |
| 1750382990 | Anthony Dale Roberts | Chiropractor | 303 W Main St, Havana, IL 62644-1139 | 2005-08-10 |
| 1962816868 | John Stinauer | Dentist | 312 W Main St, Havana, IL 62644-1140 | 2014-06-18 |
| Find all providers in zip 62644 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336556299 | Walgreens | Pharmacist | 10 Yvonne Ct, Havana, FL 32333-4986 | 2014-07-12 |
| 1881836054 | John Wayne Glover Jr. | Pharmacist | 704 S Us Highway 27, Havana, FL 32333-2018 | 2009-04-02 |
| 1265641245 | Margaret Olive Collins | Pharmacist | 112 E 7th Ave, Havana, FL 32333-1620 | 2007-05-22 |
| 1629103577 | Charles Maynard Bembry | Pharmacist | 112 E 7th Ave, Havana, FL 32333-1620 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083414 | Cedomir Micic | Pharmacist | 1111 W 14th Pl Unit 126, Chicago, IL 60608-2796 | 2020-11-07 |
| 1831790674 | Cristopher Guzman | Pharmacist | 7122 40th St Ste 1, Stickney, IL 60402-5491 | 2020-11-06 |
| 1215538046 | Nancy Ann Blue | Pharmacist | 4101 N Vermilion St, Danville, IL 61834-5997 | 2020-11-06 |
| 1386245397 | Lynsey Perera | Pharmacist | 7610 N Orange Prairie Rd, Peoria, IL 61615-9324 | 2020-11-05 |
| 1629679899 | Rubegin F Torrevillas | Pharmacist | 731 Terry Rd, Glendale Heights, IL 60139-3330 | 2020-11-04 |
| 1730780214 | Rhonda Leigh Herrmann | Pharmacist | 13969 Moore Rd, Marion, IL 62959-6835 | 2020-11-03 |
| 1265033674 | Ghazala Raheel | Pharmacist | 4000 Route # 173, Zion, IL 60099 | 2020-11-03 |
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1609477280 | Marlene A Espinosa | Pharmacist | 2680 N, Il 83, Round Lake Beach, IL 60073 | 2020-11-02 |
| 1023619616 | Hetal Patel | Pharmacist | 3 S 100 Rt 53, Glen Ellyn, IL 60137 | 2020-11-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.