Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DOMINIC DEROSE JR.
NPI 1083698559
Pharmacist in Clearfield, UT

Active since November 30, 2005
1080 W 300 N, CLEARFIELD, UT 84015(801) 773-7330 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dominic Derose Jr. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINIC DEROSE JR. (NPI 1083698559) is an individual pharmacist in Clearfield, Utah, licensed in Utah (140039-1701) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1083698559
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDOMINIC DEROSE JR.
Location Address1080 W 300 NClearfield, UT 84015-8732
Mailing Address1509 West Stayner DriveFarmington, UT 84025 · (801) 451-5708
Sole ProprietorNo
Enumeration DateNovember 30, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1083698559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in UT · 140039-1701
Definition

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.

1080 W 300 N, Clearfield, UT 84015

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
1080 W 300 N
CLEARFIELD, UT 84015

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominic Derose's NPI number?

The NPI number for Dominic Derose is 1083698559. It was assigned to this individual provider in the NPPES registry on November 30, 2005.

Where is Dominic Derose located?

Dominic Derose practices at 1080 W 300 N, Clearfield, UT 84015. The listed phone number is (801) 773-7330.

What is Dominic Derose's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Dominic Derose was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.