Active NPI
Dominick Depolo Jr., RPH
- Pharmacist
- Portsmouth, VA
National Provider Identifier
1356311682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202001676
- Practice address
- Naval Medical Center Portsmouth Pharmacy Department
620 John Paul Jones Circle
Portsmouth, VA 23708 - Phone
- (757) 953-7295
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP-026616-L | PA | |
| Pharmacist | 183500000X | 0202001676 | VA | Primary |
| Pharmacist | 183500000X | RP00002746 | WV |
Addresses
Primary practice location
Naval Medical Center Portsmouth Pharmacy Department
620 John Paul Jones Circle
Portsmouth, VA 23708
Mailing address
4704 Condor Dr
Chesapeake, VA 23321-1323
Phone (757) 465-1275
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP-026616-L | PA | MD | Pharmacist |
| 0202001676 | VA | MD | Pharmacist |
| RP00002746 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1356311682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4704 CONDOR DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233211323",
"telephone_number": "757-465-1275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "NAVAL MEDICAL CENTER PORTSMOUTH PHARMACY DEPARTMENT",
"address_2": "620 JOHN PAUL JONES CIRCLE",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "23708",
"telephone_number": "757-953-7295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEPOLO",
"first_name": "DOMINICK",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP-026616-L",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202001676",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP00002746",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.