DERICK BLEDSOE
NPI 1659901387
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Las Vegas, NV

Q: What is Derick Bledsoe's NPI number?

The NPI number for Derick Bledsoe is 1659901387. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Q: What is Derick Bledsoe's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Derick Bledsoe was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 22, 2020

2540 S MARYLAND PKWY, LAS VEGAS, NV 89109(702) 791-0517(702) 732-7899 Get Directions Write a Review

NPPES record last updated: January 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Derick Bledsoe NPPES

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

DERICK BLEDSOE (NPI 1659901387) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Las Vegas, Nevada, licensed in Nevada (14317) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1659901387

Entity TypeIndividualMale

Primary Taxonomy1835P0018X

Provider Legal NameDERICK BLEDSOE

Location Address2540 S MARYLAND PKWYLas Vegas, NV 89109-1627

Mailing Address2540 S Maryland PkwyLas Vegas, NV 89109-1627 · (702) 791-0517 · Fax (702) 732-7899

Phone(702) 791-0517

Fax(702) 732-7899

Sole ProprietorYes

Enumeration DateJanuary 22, 2020

✔ NPI 1659901387 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 NV · 14317

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.

2540 S MARYLAND PKWY, Las Vegas, NV 89109

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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.

CHUONG TA

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

2540 S MARYLAND PKWY
LAS VEGAS, NV 89109

Clark County (702) 791-0517

SMITHS FOOD & DRUG CENTERS INC

Pharmacy (Community/Retail Pharmacy)

2540 S MARYLAND PKWY
LAS VEGAS, NV 89109

Clark County (702) 791-0517

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 Derick Bledsoe's NPI number?

The NPI number for Derick Bledsoe is 1659901387. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Derick Bledsoe located?

Derick Bledsoe practices at 2540 S Maryland Pkwy, Las Vegas, NV 89109. The listed phone number is (702) 791-0517.

What is Derick Bledsoe'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 Derick Bledsoe was last updated on January 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.