Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Simone Devereux, PHARMD

Individual provider Pharmacist · NPI 1609470053

Dominique Simone Devereux, PHARMD is a Pharmacist in Grandview, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2020.

Licensed in
KS, MO
In the registry since
2020
Specialties on file
2
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

12220 S 71 Hwy
Grandview, MO 64030-1130
Phone: (816) 777-2448
Fax: (816) 777-2579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2020025169 (MO)
Pharmacist Taxonomy 183500000X · Licence 1-112117 (KS)

Record details

NPI number1609470053
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 25, 2020
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020

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