Individual provider Active NPI

Michael Lamar Dupree, PHARMD

  • Pharmacist
  • Petersburg, VA
National Provider Identifier
1912119868
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202204204 Issued in VA
Practice address
FCC Petersburg Medium Attn Pharmacy SVC
1060 River Road Box 90042
Petersburg, VA 23804
Phone
(804) 504-7200
Fax
(804) 504-7279
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH017221 GA
Pharmacist 183500000X 0202204204 VA Primary

Addresses

Primary practice location

FCC Petersburg Medium Attn Pharmacy SVC
1060 River Road Box 90042
Petersburg, VA 23804

Mailing address

11800 Hardwood Dr
Midlothian, VA 23114-2480
Phone (804) 379-1303

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH017221GAMDPharmacist
0202204204VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912119868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 HARDWOOD DR",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231142480",
            "telephone_number": "804-379-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FCC PETERSBURG MEDIUM ATTN PHARMACY SVC",
            "address_2": "1060 RIVER ROAD BOX 90042",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "23804",
            "telephone_number": "804-504-7200",
            "fax_number": "804-504-7279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPREE",
        "first_name": "MICHAEL",
        "middle_name": "LAMAR",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH017221",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202204204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.