Individual provider · Type 1 NPI

John A. Derenburger

Pharmacist · Charleston, WV

NPI number 1194790600 Active

Practice location

3200 Maccorkle Ave SE
Charleston, WV 25304-1227

Call (304) 388-4210 Map

Fax (304) 388-8838

Mailing address

1990 Parkwood Rd
Charleston, WV 25314-2242

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0005220 (WV)

Pharmacist: 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…

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About NPI 1194790600

John A. Derenburger's National Provider Identifier is 1194790600, issued on Feb 18, 2006. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Charleston, WV. The record was last updated on Jul 13, 2026.