Deshawn D. Fontenot, PHARM. D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

47067 Issued in TX

Practice address

5270 S State Highway 360
T-2243
Grand Prairie, TX 75052-8307

Phone

(469) 348-2101

Fax

(469) 348-2104

NPI assigned

Jun 20, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308528000000",
    "number": "1477849370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 S STATE HIGHWAY 360",
            "address_2": "T-2243",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528307",
            "telephone_number": "469-348-2101",
            "fax_number": "469-348-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 S STATE HIGHWAY 360",
            "address_2": "T-2243",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750528307",
            "telephone_number": "469-348-2101",
            "fax_number": "469-348-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONTENOT",
        "first_name": "DESHAWN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "47067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Grand Prairie, TX
• Providers in Grand Prairie, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.