Provider Demographics
NPI:1417017633
Name:DUPART, SHERRI JONES (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:SHERRI
Middle Name:JONES
Last Name:DUPART
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11025 ACOMA ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79934-2840
Mailing Address - Country:US
Mailing Address - Phone:915-217-0086
Mailing Address - Fax:915-217-0086
Practice Address - Street 1:5005 N PIEDRAS ST
Practice Address - Street 2:WBAMC PHARMACY
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79920-5001
Practice Address - Country:US
Practice Address - Phone:915-569-4130
Practice Address - Fax:915-569-4878
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17954183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN