SANDRA MARIE DERRICKSON PHARMD RPH
NPI 1295312510
Pharmacist in Mattoon, IL

Active since March 24, 2021
212 S LOGAN AVE, MATTOON, IL 61938(217) 235-3126(217) 234-3675 Get Directions Write a Review

NPPES record last updated: March 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sandra Marie Derrickson Pharmd Rph NPPES

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

SANDRA MARIE DERRICKSON PHARMD RPH (NPI 1295312510) is an individual pharmacist in Mattoon, Illinois, licensed in Illinois (351.037480) and active in the NPI registry since March 2021.

NPPES Registry Identity

NPI1295312510
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSANDRA MARIE DERRICKSONCredential: PHARMD RPH
Location Address212 S LOGAN AVEMattoon, IL 61938-4595
Mailing Address212 S Logan AveMattoon, IL 61938-4595 · (217) 235-3126 · Fax (217) 234-3675
Fax(217) 234-3675
Sole ProprietorNo
Enumeration DateMarch 24, 2021
NPPES CertifiedMarch 24, 2021
NPI 1295312510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in IL · 351.037480
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.
212 S LOGAN AVE, Mattoon, IL 61938

Other Providers at the Same Location NPPES 11

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

Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacy
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938
Pharmacist
212 S LOGAN AVE
MATTOON, IL 61938

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 Sandra Derrickson's NPI number?

The NPI number for Sandra Derrickson is 1295312510. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Sandra Derrickson located?

Sandra Derrickson practices at 212 S Logan Ave, Mattoon, IL 61938. The listed phone number is (217) 235-3126.

What is Sandra Derrickson'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 Sandra Derrickson was last updated on March 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.