Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1972114007 Individual Practitioner Male Practitioner

Derek James Tully

Pharmacist • Salt Lake City, UT

Professional Overview & Biography Verified Profile Summary

Derek Tully is a registered healthcare professional specializing in Pharmacist in Salt Lake City, UT. Practice services are available at 2332 E 2100 S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2332 E 2100 S

Salt Lake City, UT 841091319

Telephone 8014669949
Fax 8014676742
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1659894707

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Salt Lake City, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
511 Specialists

Practicing in Salt Lake City, UT (2037 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: 2020-08-12
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License UT 7685428-1701

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 Utah Department Of Professional Licensing
7685428-8911 (UT)
Commercial Insurance / Payer ID Utah Department Of Professional Licensing
7685428-1701 (UT)

Practice Associates & Co-Workers

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

6 Associated Practitioners
NPI 1043526346

Registered Pharmacist

NPI 1063704120

Registered Pharmacist

NPI 1164869533
NPI 1639462005

Registered Pharmacist

Seth Green , RPH

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1841716354

Registered Pharmacist

NPI 1932619715

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 12, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2020

Registered at 2332 E 2100 S, SALT LAKE CITY, UT 841091319 (Tel: 8014669949)

📍
Updated Business Mailing Address August 12, 2020

Registered at 8649 N PINE VALLEY ALY, EAGLE MOUNTAIN, UT 840055261 (Tel: 2566540882)

👤
Provider Name / Credentials Updated August 12, 2020

Recorded as DEREK TULLY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2020

Pharmacist (License #7685428-1701 in UT)

🟢
Initial NPI Registration & Enumeration August 12, 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: 1972114007
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2020
Last Update: August 12, 2020
Sole Proprietor: No

Mailing Address

8649 N Pine Valley Aly

Eagle Mountain, UT 840055261

Phone: 2566540882

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.