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CASEY DERDERIAN PHARMD
NPI 1710877675
Pharmacist in Jacksonville, FL

Active since July 03, 2025
7221 NORMANDY BLVD, JACKSONVILLE, FL 32205(904) 783-1109 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 11, 2025, Jul 3, 2025 (2 updates tracked since 2025).

About Casey Derderian Pharmd NPPES

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

CASEY DERDERIAN PHARMD (NPI 1710877675) is an individual pharmacist in Jacksonville, Florida, licensed in Florida (PS69485) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1710877675
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCASEY DERDERIANCredential: PHARMD
Location Address7221 NORMANDY BLVDJacksonville, FL 32205-6260
Mailing Address10135 Gate Pkwy N Apt 713Jacksonville, FL 32246-8260 · (401) 714-1786
Phone(904) 783-1109
Sole ProprietorNo
Enumeration DateJuly 3, 2025
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1710877675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS69485
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.
Also ListedPharmacy TechnicianTaxonomy 183700000X · License PSI47735 (FL)

Other Providers at the Same Location NPPES 9

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

DR. MAIA HARDY PHARMD, RPH
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
WALGREEN CO
Pharmacy
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
MS. TIFFANY BOONE PHARMD
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
BRANDON BROWN PHARMD
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
SHETAL PATEL PHARM D
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
MISS ERICA S COOK PHARM D
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
MOLLY DUCKETT PHARMD
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109
DR. ROSS COTTLE PHARMD
Pharmacist
7221 NORMANDY BLVD
JACKSONVILLE, FL 32205
Duval County (904) 783-1109

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 Casey Derderian's NPI number?

The NPI number for Casey Derderian is 1710877675. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Casey Derderian located?

Casey Derderian practices at 7221 Normandy Blvd, Jacksonville, FL 32205. The listed phone number is (904) 783-1109.

What is Casey Derderian'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 Casey Derderian was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.