DERBY DRUG
NPI 1194828194
Pharmacy - Community/Retail Pharmacy in Derby, KS

Active since September 06, 2006CLIA 17D2182663 · Waiver
1101 N ROCK RD, DERBY, KS 67037(316) 788-6669(316) 788-3570 Get Directions Write a Review

NPPES record last updated: February 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Derby Drug NPPES

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

DERBY DRUG (NPI 1194828194) is a healthcare organization registered as a community/retail pharmacy in Derby, Kansas and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Gary P Damm, Pharmacist/owner, as its authorized official.

NPPES Registry Identity

NPI1194828194
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePHARMACON DRUG
Location Address1101 N ROCK RDDerby, KS 67037-3735
Mailing Address1101 N Rock RdDerby, KS 67037-3735 · (316) 788-6669 · Fax (316) 788-3570
Fax(316) 788-3570
Organization SubpartNo
Authorized OfficialGary P DammPharmacist/owner · (316) 788-5533
Enumeration DateSeptember 6, 2006
Last NPPES UpdateFebruary 12, 2008
NPI 1194828194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in KS · 7934
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
1101 N ROCK RD, Derby, KS 67037

Other Names 1

Doing Business AsDerby Drug

Other Identifiers 3

Medicare NSC0445840002KS
Medicare ID-Type Unspecified0445840002KS
Medicaid100437990AKS

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2182663

Derby Drug · Derby, KS
Active · expires Jan 22, 2027
CLIA Number17D2182663
Laboratory TypePharmacy
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorJonathan R. Hansen
Laboratory Phone(316) 788-6669
Laboratory LocationDerby Drug1101 N Rock Rd #1, Derby, KS 67037
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Clinic/Center (Radiology)
1101 N ROCK RD
DERBY, KS 67037
Clinic/Center (Ambulatory Surgical)
1101 N ROCK RD
DERBY, KS 67037
Pharmacy Technician
1101 N ROCK RD
DERBY, KS 67037
Family Medicine
1101 N ROCK RD
DERBY, KS 67037
Pharmacy (Community/Retail Pharmacy)
1101 N ROCK RD
DERBY, KS 67037
Pharmacist
1101 N ROCK RD
DERBY, KS 67037
Pharmacist
1101 N ROCK RD
DERBY, KS 67037
Physical Therapist
1101 N ROCK RD
DERBY, KS 67037

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 Pharmacon Drug's NPI number?

The NPI number for Pharmacon Drug is 1194828194. It was assigned to this organization in the NPPES registry on September 6, 2006. The provider is doing business as Derby Drug.

Where is Pharmacon Drug located?

Pharmacon Drug is located at 1101 N Rock Rd, Derby, KS 67037. The listed phone number is (316) 788-6669.

What is Pharmacon Drug's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Pharmacon Drug hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2182663) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pharmacon Drug was last updated on February 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.