Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Deryck Blake, RPH

Individual provider Pharmacist · NPI 1568067114

Deryck Blake, RPH is a Pharmacist in Lithonia, Georgia. Licensed in Georgia. Registered with an NPI since 2020.

Licensed in
GA
In the registry since
2020
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

5401 Fairington Rd
Lithonia, GA 30038-5113
Phone: (770) 593-4998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH016053 (GA)

Record details

NPI number1568067114
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 2, 2020
Last updated in NPPESDecember 2, 2020
Certification dateDecember 2, 2020
Mailing address882 Heritage Pl, Decatur, GA 30033-4104

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