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Active NPI 1568067114 Individual Practitioner Male Practitioner

Deryck Blake , RPH

Pharmacist • Lithonia, GA

Professional Overview & Biography Verified Profile Summary

Deryck Blake, RPH is a registered healthcare professional specializing in Pharmacist in Lithonia, GA. Practice services are available at 5401 FAIRINGTON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5401 Fairington Rd

Lithonia, GA 300385113

Telephone 7705934998
Associated Practice Facility / Clinic
🏢 Wal-Mart Stores East Lp Facility NPI 1841217163

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lithonia, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Lithonia, GA (8508 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-02
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License GA RPH016053

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Gary Freeman

Pharmacist

NPI 1225631153

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 02, 2020

Registered at 5401 FAIRINGTON RD, LITHONIA, GA 300385113 (Tel: 7705934998)

📍
Updated Business Mailing Address December 02, 2020

Registered at 882 HERITAGE PL, DECATUR, GA 300334104 (Tel: 6787764569)

👤
Provider Name / Credentials Updated December 02, 2020

Recorded as DERYCK BLAKE, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2020

Pharmacist (License #RPH016053 in GA)

🟢
Initial NPI Registration & Enumeration December 02, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568067114
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 02, 2020
Last Update: December 02, 2020
Sole Proprietor: No

Mailing Address

882 Heritage Pl

Decatur, GA 300334104

Phone: 6787764569

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.