DEREK ETUBE PHARM.D
NPI 1194121566
Pharmacist in Baltimore, MD

Active since November 13, 2014
1030 W 41ST ST STE E, BALTIMORE, MD 21211(410) 235-0002 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derek Etube Pharm.d NPPES

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

DEREK ETUBE PHARM.D (NPI 1194121566) is an individual pharmacist in Baltimore, Maryland, licensed in Maryland (22934) and active in the NPI registry since November 2014. He maintains a secondary practice location in Baltimore.

NPPES Registry Identity

NPI1194121566
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDEREK ETUBECredential: PHARM.D
Location Address1030 W 41ST ST STE EBaltimore, MD 21211-1662
Mailing Address1030 W 41st St Ste EBaltimore, MD 21211-1662 · (410) 235-0002
Sole ProprietorNo
Enumeration DateNovember 13, 2014
Last NPPES UpdateDecember 21, 2022
NPPES CertifiedDecember 21, 2022
NPI 1194121566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MD · 22934
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.
1030 W 41ST ST STE E, Baltimore, MD 21211

Secondary Practice Location 1

Location 14600 W Northern PkwyBaltimore, MD 21215-3228 · Phone (410) 358-5777

Other Providers at the Same Location NPPES 2

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

Pharmacy
1030 W 41ST ST STE E
BALTIMORE, MD 21211
Pharmacy
1030 W 41ST ST STE E
BALTIMORE, MD 21211

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 Etube's NPI number?

The NPI number for Derek Etube is 1194121566. It was assigned to this individual provider in the NPPES registry on November 13, 2014.

Where is Derek Etube located?

Derek Etube practices at 1030 W 41st St Ste E, Baltimore, MD 21211. The listed phone number is (410) 235-0002.

What is Derek Etube'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 Derek Etube was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.