IndividualActive
Deryck Blake, RPH
NPI 1568067114 · Pharmacist · Lithonia, GA
Deryck Blake, RPH is a Pharmacist provider in Lithonia, GA (NPI 1568067114).
Provider details
- NPI number
- 1568067114
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- RPH
- Sex
- Male
- Sole proprietor
- No
- License
- RPH016053 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5401 Fairington Rd
Lithonia, GA 30038-5113
Phone: (770) 593-4998
Street-level locationGet directions
Mailing address
882 Heritage Pl
Decatur, GA 30033-4104
Registry dates
- Enumerated
- 2020-12-02
- Last updated
- 2020-12-02
- Certified
- 2020-12-02
Frequently asked questions
- What is Deryck Blake's NPI number?
- Deryck Blake's National Provider Identifier (NPI) is 1568067114, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deryck Blake's specialty?
- Deryck Blake is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Deryck Blake located?
- Deryck Blake's practice location on file with NPPES is 5401 Fairington Rd, Lithonia, GA 30038-5113.
- What is Deryck Blake's phone number?
- The practice phone number listed in the NPPES registry for Deryck Blake is (770) 593-4998.
- Is Deryck Blake's NPI active?
- Yes — Deryck Blake's NPI (1568067114) is active in the NPPES registry as of the last update on 2020-12-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.