Active NPI
Michelle Marie Dupuy, DPH
- Geriatric Pharmacist
- Edmond, OK
National Provider Identifier
1376173583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Pharmacist
- License
- 11635
- Practice address
- 12400 Roberts Rd
Edmond, OK 73013-7570 - Phone
- (405) 823-0647
- NPI assigned
- Jan 16, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Pharmacist | 1835G0303X | 11635 | OK | Primary |
Addresses
Primary practice location
12400 Roberts Rd
Edmond, OK 73013-7570
Mailing address
12400 Roberts Rd
Edmond, OK 73013-7570
Phone (405) 823-0647
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11635 | OK | MD | Geriatric Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579132800000",
"number": "1376173583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 ROBERTS RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730137570",
"telephone_number": "405-823-0647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 ROBERTS RD",
"city": "EDMOND",
"state": "OK",
"postal_code": "730137570",
"telephone_number": "405-823-0647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUY",
"first_name": "MICHELLE",
"middle_name": "MARIE",
"credential": "DPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-16",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "1835G0303X",
"taxonomy_group": "",
"desc": "Pharmacist, Geriatric",
"state": "OK",
"license": "11635",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.