Provider Demographics
NPI:1386390342
Name:HOPKINS, JERMAINE WESLEY (PHARMD)
Entity type:Individual
Prefix:DR
First Name:JERMAINE
Middle Name:WESLEY
Last Name:HOPKINS
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8946 OCKELS DR
Mailing Address - Street 2:
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8592
Mailing Address - Country:US
Mailing Address - Phone:302-604-8334
Mailing Address - Fax:
Practice Address - Street 1:54 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:OCEAN VIEW
Practice Address - State:DE
Practice Address - Zip Code:19970-9106
Practice Address - Country:US
Practice Address - Phone:302-537-4670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-28
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEA1-0015550183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist