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

Jacques Gregoire Derival, RPH

Individual provider Pharmacist · NPI 1073296737

Jacques Gregoire Derival, RPH is a Pharmacist in Gainesville, Florida. Licensed in Florida and Kansas. Registered with an NPI since 2023.

Licensed in
FL, KS
In the registry since
2023
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

2815 NW 13th St Ste 204
Gainesville, FL 32609-2879
Phone: (352) 204-5643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS63339 (FL)
Pharmacist Taxonomy 183500000X · Licence 1-119122 (KS)

Record details

NPI number1073296737
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 9, 2023
Last updated in NPPESJanuary 21, 2024
Certification dateJanuary 21, 2024

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