IndividualActive
Derk Penrod, PHARMD
NPI 1952735987 · Pharmacist · Seaside, OR
Provider details
- NPI number
- 1952735987
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0013656 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
401 S Roosevelt
Seaside, OR 97138
Phone: (503) 738-4706
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1177
Seaside, OR 97138
Registry dates
- Enumerated
- 2013-08-27
- Last updated
- 2013-08-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.