National Provider Identifier
Derek Wayne Draper
Derek Wayne Draper is listed in the NPPES registry with a primary specialty of Pharmacist in Bath, NY and a listed phone number of (607) 776-4747.
Profile Overview
- NPI
- 1104478973
- Provider Type
- Individual
- Primary Specialty
- Pharmacist
- Enumeration Date
- July 11, 2019
- Last Updated
- July 11, 2019
Practice Location
- 338 W Washington St
- Bath, NY 14810-1024
Phone: (607) 776-4747
Specialties
- Pharmacist (183500000X)
Full Record
- NPI
- 1104478973
- Entity Type
- Individual
- Last Name
- Draper
- First Name
- Derek
- Middle Name
- Wayne
- Mailing Street Address
- 338 W Washington St
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-1024
- Mailing Country
- US
- Practice Street Address
- 338 W Washington St
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-1024
- Practice Country
- US
- Practice Phone
- (607) 776-4747
- Enumeration Date
- July 11, 2019
- Last Updated
- July 11, 2019
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pharmacist (183500000X)