DR. JACOB E DERONDE PHARMD
NPI 1609567387
Pharmacist in Springfield, MO

Active since May 15, 2023
1454 E REPUBLIC RD, SPRINGFIELD, MO 65804(417) 886-6880(417) 886-0042 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Jacob E Deronde Pharmd NPPES

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

DR. JACOB E DERONDE PHARMD (NPI 1609567387) is an individual pharmacist in Springfield, Missouri, licensed in Missouri (2021030848) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1609567387
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JACOB E DERONDECredential: PHARMD
Location Address1454 E REPUBLIC RDSpringfield, MO 65804-6507
Mailing Address1454 E Republic RdSpringfield, MO 65804-6507 · (417) 886-6880 · Fax (417) 886-0042
Fax(417) 886-0042
Sole ProprietorNo
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
NPI 1609567387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MO · 2021030848
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.

1454 E REPUBLIC RD, Springfield, MO 65804

Other Providers at the Same Location NPPES 6

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

Pharmacy (Community/Retail Pharmacy)
1454 E REPUBLIC RD
SPRINGFIELD, MO 65804
Pharmacist
1454 E REPUBLIC RD
SPRINGFIELD, MO 65804
Pharmacist
1454 E REPUBLIC RD
SPRINGFIELD, MO 65804
Pharmacist
1454 E REPUBLIC RD
SPRINGFIELD, MO 65804
Pharmacy Technician
1454 E REPUBLIC RD
SPRINGFIELD, MO 65804
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1454 E REPUBLIC RD
SPRINGFIELD, MO 65804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609567387, enumerated as an "individual" on May 15, 2023.

The provider is located at 1454 E REPUBLIC RD SPRINGFIELD, MO 65804 and the phone number is (417) 886-6880.

Pharmacist with taxonomy code 183500000X.