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Deactivated NPI 1457608655 Deactivated / Inactive NPI Male Practitioner

Dr. Derek B Smith , PharmD

Pharmacist • Overland, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Derek Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 07, 2012
NPI Deactivation Date November 25, 2020
Total Practice Duration ~8 Years of Practice (2012 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Derek Smith, PharmD was a registered Pharmacist practicing in Overland, MO. Throughout an active medical career spanning 8 years, Dr. Smith provided care at the practice location at 1A DOCUMENT DR until profile deactivation on 2020-11-25.

Practice Location & Contact Primary Location

Practice Address

1a Document Dr

Overland, MO 631146110

Telephone 3149614405
Fax 3149614010
Associated Practice Facility / Clinic
🏢 Long Term Care Rx, Inc. Facility NPI 1023173986

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Overland, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.7 Yrs
Regional Practice Density
10 Specialists

Practicing in Overland, MO (5469 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: 2021-10-18
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MO 2012027074

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

8 Associated Practitioners
Dr. Sagar Patel , PharmD

Pharmacist - Geriatric

NPI 1124623673

Doctor of Pharmacy (Pharm.D.)

Natalie Denish

Pharmacist

NPI 1255936928
NPI 1295019776
NPI 1356938930

Registered Pharmacist

NPI 1427331610

Doctor of Pharmacy (Pharm.D.)

Taylor Win

Pharmacist

NPI 1487258059

Career & Practice History Timeline

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

16 Historical Events
📍
Updated Practice Location October 18, 2021

Registered at 1A DOCUMENT DR, OVERLAND, MO 631146110 (Tel: 3149614405)

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Updated Business Mailing Address October 18, 2021

Registered at 1A DOCUMENT DR, OVERLAND, MO 631146110 (Tel: 3149614405)

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Provider Name / Credentials Updated October 18, 2021

Recorded as DEREK SMITH, PHARM. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2021

Pharmacist (License #2012027074 in MO)

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NPI Profile Deactivated November 25, 2020

Record deactivated on November 25, 2020

NPI Profile Active May 03, 2017

NPI status registered as active in NPPES database

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Updated Practice Location May 03, 2017

Registered at 345 DUNN RD, FLORISSANT, MO 630317929 (Tel: 3149214242)

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Updated Business Mailing Address May 03, 2017

Registered at 345 DUNN RD, FLORISSANT, MO 630317929 (Tel: 3149214242)

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Provider Name / Credentials Updated May 03, 2017

Recorded as DEREK SMITH, PHARM. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2017

Pharmacist (License #2012027074 in MO)

NPI Profile Active August 07, 2012

NPI status registered as active in NPPES database

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Updated Practice Location August 07, 2012

Registered at 1272 TOWN AND COUNTRY CROSSING DR, T1952, CHESTERFIELD, MO 630170605 (Tel: 6365910235)

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Updated Business Mailing Address August 07, 2012

Registered at 1272 TOWN AND COUNTRY CROSSING DR, T1952, CHESTERFIELD, MO 630170605 (Tel: 6365910235)

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Provider Name / Credentials Updated August 07, 2012

Recorded as DEREK SMITH, PHARM. D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2012

Pharmacist (License #2012027074 in MO)

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Initial NPI Registration & Enumeration August 07, 2012

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: 1457608655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2012
Last Update: October 18, 2021
Deactivation Date: November 25, 2020
Sole Proprietor: No

Mailing Address

1a Document Dr

Overland, MO 631146110

Phone: 3149614405

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.