Jason Dupeire
Individual provider Active NPI Pharmacist · Orange Beach, AL
NPI 1902198716 · NPPES record last updated May 11, 2011
Key facts
- NPI
- 1902198716
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 15701 (AL)
- Practice address
- 4610 Spinnaker Way
Orange Beach, AL 36561-3880 - Phone
- (251) 968-6119
- NPI assigned
- May 11, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15701 | AL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 15701 | AL | Yes |
Addresses
Primary practice location
4610 Spinnaker Way
Orange Beach, AL 36561-3880
Mailing address
4610 Spinnaker Way
Orange Beach, AL 36561-3880
Other providers in Orange Beach, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 11, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.