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

Jerry Depa

Individual provider Pharmacist · NPI 1164975298

Jerry Depa is a Pharmacist in Palm Desert, California. Licensed in Arizona, California and Nevada. Registered with an NPI since 2016.

Licensed in
AZ, CA, NV
In the registry since
2016
Specialties on file
3

Practice location Address checks out

39155 Washington St
Palm Desert, CA 92211-1259
Phone: (760) 772-7641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 65239 (CA)
Pharmacist Taxonomy 183500000X · Licence 12508 (NV)
Pharmacist Taxonomy 183500000X · Licence S013144 (AZ)

Record details

NPI number1164975298
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 25, 2016
Last updated in NPPESJuly 25, 2016

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