CHRISTOPHER DERYCKE (NPI# 1538610951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538610951 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER DERYCKE |
| Credential | RPH |
| Practice Address |
2000 S Mill Ave Tempe AZ 85282-2128 |
| Practice Telephone | 4809218013 |
| Mailing Telephone | 4809218013 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | S022221 | AZ | Pharmacy Service Providers |
| Street Address |
2000 S MILL AVE |
| City | TEMPE |
| State | AZ |
| Zip Code | 85282-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528073863 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2000 S Mill Ave, Tempe, AZ 85282-2128 | 2006-07-29 |
| 1346594934 | Emily Lundeen | Pharmacist | 2000 S Mill Ave, Tempe, AZ 85282-2128 | 2012-11-03 |
| 1467762955 | Vidya Malladi | Pharmacist | 2000 S Mill Ave, Tempe, AZ 85282-2128 | 2010-10-18 |
| 1861708604 | Robynn Markunas | Pharmacist | 2000 S Mill Ave, Tempe, AZ 85282-2128 | 2010-08-30 |
| 1962716068 | Linda S Crawford | Pharmacist | 2000 S Mill Ave, Tempe, AZ 85282-2128 | 2010-07-30 |
| 1275863409 | Chad Fuentes | Pharmacist | 2000 S Mill Ave, Tempe, AZ 85282-2128 | 2010-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346893575 | Cactus Canyon Dental | Dentist | 2043 E Southern Ave, Ste. C, Tempe, AZ 85282 | 2019-07-17 |
| 1023679644 | Donna Cooks | Registered Nurse | 233 E. Sourthern Ave #27702, Tempe, AZ 85282 | 2019-06-25 |
| 1841854932 | Lynn Stafford | Registered Nurse | 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-04-24 |
| 1598227340 | Jane Ramenofsky Ramenofsky Stewart | Registered Nurse | 4041 So. Mcclintock Suite 302, Tempe, AZ 85282 | 2019-04-02 |
| 1588129902 | Mary K Wheeler Mcfarland | Registered Nurse | Adobe Care and Wellness LLC, Address Is 4041 S. Mcclintock, Ste 302, Tempe, AZ 85282 | 2019-02-11 |
| 1669949780 | Crestview Pharmacy Services LLC | Pharmacy | 3225 South Hardy Dr., Ste 100, Tempe, AZ 85282 | 2018-10-26 |
| 1275018715 | Berlin Wright | Naturopath | 2164 E. Broadway Rd., Tempe, AZ 85282 | 2018-10-01 |
| 1043701543 | Lakeshore Interventional Treatment Center LLC | Surgery | 4765 S Lakeshore Dr, Tempe, AZ 85282 | 2018-05-21 |
| 1427553940 | The Bridge Counseling, Consulting and Mediation LLC | Counselor | 4625 S. Lakeshore Dr., 302, Tempe, AZ 85282 | 2018-03-27 |
| 1346741501 | Coraesthetics Pllc | Physician Assistant | 2008 E Laguna Dr, Tempe, AZ 85282 | 2018-02-23 |
| Find all providers in zip 85282 | ||||
| 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 |
|---|---|---|---|---|
| 1902350044 | Van Hoan Ho | Pharmacist | 1811 E Apache Blvd, Apt 3078, Tempe, AZ 85281-6088 | 2016-08-05 |
| 1437603628 | Ranna Ardebili | Pharmacist | 60 E Rio Salado Pkwy Ste 9049, Tempe, AZ 85281 | 2016-08-05 |
| 1760869630 | Franklin Richey Green | Pharmacist | 658 E Vinedo Ln, Tempe, AZ 85284-1470 | 2015-04-30 |
| 1679973671 | John Joseph Mchale Iv | Pharmacist | 415 S 48th St Ste 101, Tempe, AZ 85281-2358 | 2014-08-27 |
| 1366850349 | Garrett Coffee | Pharmacist | 1735 E Southern Ave, Tempe, AZ 85282 | 2014-07-23 |
| 1063822922 | Chauntel Nicole Rene Kellar | Pharmacist | 1600 W La Jolla Dr, Apt 2033, Tempe, AZ 85282-4430 | 2014-04-30 |
| 1043552466 | Dean R Franke | Pharmacist | 1501 W Fountainhead Pkwy Ste 5500, Tempe, AZ 85282-1868 | 2013-03-24 |
| 1770854903 | James Paul Labella | Pharmacist | 8150 S Kyrene Rd Ste 205, Tempe, AZ 85284-2115 | 2012-01-19 |
| 1699056028 | Jace Anthony Clark | Pharmacist | 750 E Guadalupe Rd, Tempe, AZ 85283-2912 | 2011-08-30 |
| 1992091185 | David Christopher Arresh Darbandi | Pharmacist | 1800 E Rio Salado Pkwy, T2176, Tempe, AZ 85281-2255 | 2011-06-26 |
| Find all providers in TEMPE | ||||
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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.