Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689887580 Individual Practitioner Female Practitioner

Deronda Kay Back , RPH

Pharmacist • Jackson, KY

Professional Overview & Biography Verified Profile Summary

Deronda Back, RPH is a registered healthcare professional specializing in Pharmacist in Jackson, KY. Practice services are available at 842 HWY 15 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

842 Hwy 15 N

Jackson, KY 41339

Telephone 6066667060
Fax 6066669454
Associated Practice Facility / Clinic
🏢 Jordan Drug, Inc. Facility NPI 1689619348

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 5.0 Yrs
Regional Practice Density
18 Specialists

Practicing in Jackson, KY (4242 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

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License KY 008355

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Ky State License
008355 (KY)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1508225996

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 842 HWY 15 N, JACKSON, KY 41339 (Tel: 6066667060)

📍
Updated Business Mailing Address July 08, 2007

Registered at PO BOX 931, JACKSON, KY 413390931 (Tel: 6066667060)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DERONDA BACK, RPH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #008355 in KY)

🟢
Initial NPI Registration & Enumeration May 07, 2007

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: 1689887580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

Po Box 931

Jackson, KY 413390931

Phone: 6066667060

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.