Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659547206 Deactivated / Inactive NPI Male Practitioner

Dr. Otis Lema Derbonne , PharmD

Pharmacist • Leonard, TX

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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. Otis Derbonne has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 05, 2008
NPI Deactivation Date December 29, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Otis Derbonne, PharmD was a registered Pharmacist practicing in Leonard, TX. Throughout an active medical career spanning 12 years, Dr. Derbonne provided care at the practice location at 122 W COLLIN until profile deactivation on 2020-12-29.

Practice Location & Contact Primary Location

Practice Address

122 W Collin

Leonard, TX 75452

Telephone 9035873363
Fax 9035872714
Associated Practice Facility / Clinic
🏢 Kegan's Inc Facility NPI 1902892763

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Leonard, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.5 Yrs
Regional Practice Density
4 Specialists

Practicing in Leonard, TX (18958 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 TX 29463

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

4 Associated Practitioners
NPI 1003081621

Doctor of Pharmacy (Pharm.D.)

NPI 1801062849

Registered Pharmacist

NPI 1902416746

Registered Pharmacist

Melvin Krueger

Pharmacist - Ambulatory Care

NPI 1962195610

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated December 29, 2020

Record deactivated on December 29, 2020

NPI Profile Active May 05, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 05, 2008

Registered at 122 W COLLIN, LEONARD, TX 75452 (Tel: 9035873363)

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Updated Business Mailing Address May 05, 2008

Registered at PO BOX 1229, LEONARD, TX 754521229 (Tel: 9035873363)

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Provider Name / Credentials Updated May 05, 2008

Recorded as OTIS DERBONNE, PHARM.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2008

Pharmacist (License #29463 in TX)

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Initial NPI Registration & Enumeration May 05, 2008

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: 1659547206
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 05, 2008
Last Update: May 05, 2008
Deactivation Date: December 29, 2020

Mailing Address

Po Box 1229

Leonard, TX 754521229

Phone: 9035873363

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.