Nicholas Joseph Dupont, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

2018037560 Issued in MO

Practice address

407 N State St
Desloge, MO 63601-3053

Phone

(573) 431-8563

Fax

(573) 431-7642

NPI assigned

Nov 5, 2020

Last updated

Nov 5, 2020By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1568063584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 NORDEEN DR",
            "city": "ARNOLD",
            "state": "MO",
            "postal_code": "630103162",
            "telephone_number": "563-663-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 N STATE ST",
            "city": "DESLOGE",
            "state": "MO",
            "postal_code": "636013053",
            "telephone_number": "573-431-8563",
            "fax_number": "573-431-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPONT",
        "first_name": "NICHOLAS",
        "middle_name": "JOSEPH",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2018037560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Renee Davis, COTA/L
• Desloge Chiropractic Health Center, LLC
• Desloge Vision Center Inc
• Brett Dickinson, M.D.
• Hannah Jean Mendez Dominguez
• Eastern Missouri General Services Inc
• Michael Christopher Essmyer, D.C.
• Stephen M Forsythe, DO
• Rebecca S Francis, OTR/L
• Latasha Denise Franklin, MS, OTR/L

• Pharmacist in Desloge, MO
• Providers in Desloge, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.

Verify at the official NPI Registry.