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MR. ELLIS RODNEY DEROUEN R.PH NPI 1033269568


NPI Information

NPI: 1033269568
Provider Name: MR. ELLIS RODNEY DEROUEN, R.PH
Classification: Pharmacist - 183500000X
Entity Type: Individual
Address:
1010 W BLUFF ST
WOODVILLE, TX
ZIP 75979
Phone: (409) 283-3073
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MR. Ellis Rodney Derouen, R.PH is a pharmacist in Woodville, TX. The provider is 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. MR. Ellis Rodney Derouen, R.PH NPI is 1033269568. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1010 W BLUFF ST
WOODVILLE, TX
ZIP 75979-736
Phone: (409) 283-3073
Fax: (409) 283-2159

The enumeration date for this NPI number is 1/10/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist15009TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14582664OTHERTEXASNCPDP
24992720001MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
3143652MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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