MR. DEREK ANDRUS RPH
NPI 1104378199
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since October 26, 2016
5717 NW 138TH, PORTLAND, OR 97230(800) 548-9809 Get Directions Write a Review

NPPES record last updated: October 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Derek Andrus Rph NPPES

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

MR. DEREK ANDRUS RPH (NPI 1104378199) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (7623) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1104378199
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. DEREK ANDRUSCredential: RPH
Location Address5717 NW 138THPortland, OR 97230
Mailing Address2351 Nw Byrne TerPortland, OR 97229-4477 · (503) 621-6429
Sole ProprietorNo
Enumeration DateOctober 26, 2016
NPI 1104378199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License Licensed in OR · 7623
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
5717 NW 138TH, Portland, OR 97230

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 Derek Andrus's NPI number?

The NPI number for Derek Andrus is 1104378199. It was assigned to this individual provider in the NPPES registry on October 26, 2016.

Where is Derek Andrus located?

Derek Andrus practices at 5717 NW 138th, Portland, OR 97230. The listed phone number is (800) 548-9809.

What is Derek Andrus's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Derek Andrus was last updated on October 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.