DR. DERRICK CLINTON HERRON (NPI# 1992203004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992203004 |
| Entity Type | Individual |
| Full Name | DR. DERRICK CLINTON HERRON |
| Credential | PHARM.D |
| Practice Address |
210 Marie Langdon Dr Manchester KY 40962-6388 |
| Mailing Address |
210 Marie Langdon Dr C/o: Pharmacy Manchester KY 40962-6388 |
| Practice Telephone | 6065985104 |
| Practice Fax Number | 6065984509 |
| Mailing Telephone | 6065985104 |
| Mailing Fax Number | 6065984509 |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 017973 | KY | Pharmacy Service Providers |
| Street Address |
210 MARIE LANGDON DR |
| City | MANCHESTER |
| State | KY |
| Zip Code | 40962-6388 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770553463 | Anita F Cornett | Internal Medicine | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2006-01-25 |
| 1134778475 | Alma Asher | Nurse Practitioner | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2019-09-09 |
| 1821575002 | Tara Lee Griffitts | Nurse Practitioner | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2018-07-20 |
| 1720586837 | Michael Shawn Ledford | Pharmacist | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2018-01-24 |
| 1275974412 | Kayla Renee Marcum | Nurse Practitioner | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2013-07-16 |
| 1649573692 | Memorial Hospital, Inc. | Radiology | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2010-12-14 |
| 1588972673 | Zaman Shah | Hospitalist | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2010-09-22 |
| 1326371287 | Tammy Lynn Hacker | Physical Therapy Assistant | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2009-09-10 |
| 1205086097 | Michael Todd Brashear | Nurse Anesthetist, Certified Registered | 210 Marie Langdon Dr, Manchester, KY 40962-6388 | 2008-09-29 |
| 1699951558 | Kobkit Putrakul | Emergency Medicine | 210 Marie Langdon Dr, Manchester, KY 40962 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609392356 | Angela Woods | Speech-Language Pathologist | 96 Woods Rd, Manchester, KY 40962 | 2017-08-15 |
| 1346627296 | Betty Alevras | Nurse Practitioner | 21 Crestview Drive, 204 Town Branch Road, Manchester, KY 40962 | 2015-04-29 |
| 1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
| 1669758579 | Becky F Stubblefield | Nurse Practitioner | 65 Glenndale Drive, Manchester, KY 40962 | 2011-10-25 |
| 1891022315 | Sabrina Nicole Hacker | Occupational Therapist | 376 Manchester Square Shopping Centre, Manchester, KY 40962 | 2009-11-04 |
| 1114102167 | H&n Drug | Durable Medical Equipment & Medical Supplies | 515 Memorial Dr., Suite 2, Manchester, KY 40962 | 2008-01-08 |
| 1598944043 | Cumberland Valley Dist. Health Dept | Public Health or Welfare | 1983 Hwy 421, Manchester, KY 40962 | 2007-11-01 |
| 1023223203 | Dinah Lynn Sowders | Speech-Language Pathologist | 561 Mill Pond Drive, Manchester, KY 40962 | 2007-05-11 |
| 1104965300 | American Health Management, Inc. | Case Management | 2609 Hwy 80, Manchester, KY 40962 | 2007-02-05 |
| 1306902572 | Manchester Pharmacist Group LLC | Durable Medical Equipment & Medical Supplies | 415 Richmond Road, Unit B, Manchester, KY 40962 | 2006-12-29 |
| Find all providers in zip 40962 | ||||
| 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 |
|---|---|---|---|---|
| 1053911966 | Brittany Mary Travis | Pharmacist | 444 Center St # 117, Manchester, CT 06040-3926 | 2020-10-29 |
| 1255931788 | Hilary Tooley | Pharmacist | 725 Gold St, Manchester, NH 03103-4008 | 2020-10-26 |
| 1659913028 | Stephen Sam Penn | Pharmacist | 175 Queen City Ave Ste 1, Manchester, NH 03101-7121 | 2019-10-17 |
| 1407412901 | Eunice Boakye | Pharmacist | 210 Pine St Apt 228, Manchester, CT 06040-8411 | 2019-05-10 |
| 1528547858 | Justin Andrew Sandlin | Pharmacist | 2727 S Highway 421, Manchester, KY 40962-7556 | 2018-08-08 |
| 1538662424 | Minal Jamkhande | Pharmacist | 50 S Willow Street, Manchester, NH 03103 | 2018-03-16 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1609325026 | Kaitlin Rennie | Pharmacist | 1225 Bodwell Rd Apt 30, Manchester, NH 03109-5817 | 2016-09-27 |
| 1639522048 | Mohammed Kasim Manzoor I | Pharmacist | 70 Cliffside Dr, Unit E, Manchester, CT 06042-3481 | 2016-07-20 |
| 1891140513 | Edward Braye Entsiwah | Pharmacist | 48 Benton St, Manchester, CT 06040-4304 | 2016-05-01 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 40962 |
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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.