DR. DERRICK LARUE PHARMD
NPI 1912452459
Pharmacist in Tullahoma, TN

Active since August 24, 2016
1905 N JACKSON ST, SUITE #500, TULLAHOMA, TN 37388(931) 454-0482 Get Directions Write a Review

NPPES record last updated: August 24, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Derrick Larue Pharmd NPPES

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

DR. DERRICK LARUE PHARMD (NPI 1912452459) is an individual pharmacist in Tullahoma, Tennessee, licensed in Tennessee (36969) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1912452459
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. DERRICK LARUECredential: PHARMD
Location Address1905 N JACKSON ST, SUITE #500Tullahoma, TN 37388-2200
Mailing Address1905 N Jackson St, Suite #500Tullahoma, TN 37388-2200 · (931) 454-0482
Sole ProprietorNo
Enumeration DateAugust 24, 2016
NPI 1912452459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 36969
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.

1905 N JACKSON ST, Tullahoma, TN 37388

Other Providers at the Same Location NPPES 5

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

Clinical Nurse Specialist
1905 N JACKSON ST, STE 930
TULLAHOMA, TN 37388
Optometrist
1905 N JACKSON ST, STE 440
TULLAHOMA, TN 37388
Pharmacist
1905 N JACKSON ST, STE 500
TULLAHOMA, TN 37388
Pharmacist
1905 N JACKSON ST, STE. 500
TULLAHOMA, TN 37388
Registered Nurse
1905 N JACKSON ST
TULLAHOMA, TN 37388

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912452459, enumerated as an "individual" on August 24, 2016.

The provider is located at 1905 N JACKSON ST SUITE #500 TULLAHOMA, TN 37388 and the phone number is (931) 454-0482.

Pharmacist with taxonomy code 183500000X.