KIMBERLY DICKERSON (NPI# 1295162048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295162048 |
| Entity Type | Individual |
| Full Name | KIMBERLY DICKERSON |
| Practice Address |
922 Highway 28 By-pass Anderson SC 29625 |
| Practice Telephone | 8642247469 |
| Practice Fax Number | 8647160406 |
| Mailing Telephone | 8642247469 |
| Mailing Fax Number | 8647160406 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 8002 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548546799 | Kimberly Whalen Dickerson | Registered Nurse | 205 Se Wilson Ave Ste 1, Bend, OR 97702-1799 | 2011-11-01 |
| 1366632119 | Kimberly Desha Dickerson | Registered Nurse | 79 Derek Ln, La Place, LA 70068-8401 | 2007-07-27 |
| 1104334259 | Kimberly Dickerson | Case Manager/Care Coordinator | 1 Ormond Blvd Ste B, La Place, LA 70068 | 2018-01-10 |
| 1245274315 | Kimberly Sue Dickerson | Social Worker | 3111 S 70th St, Fort Smith, AR 72903-5017 | 2006-06-16 |
| Street Address |
922 HIGHWAY 28 BY-PASS |
| City | ANDERSON |
| State | SC |
| Zip Code | 29625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629554704 | Kathryn Moules Newton | Registered Nurse | 200 Mcgee Ed., Anderson, SC 29625 | 2018-07-12 |
| 1285121640 | Linda Reeves Mccullough | Registered Nurse | 1014bwhitehall Rd., Anderson, SC 29625 | 2018-04-20 |
| 1245688787 | Sacred Heart Beats | Music Therapist | 1107 Watkins Road, Anderson, SC 29625 | 2016-05-25 |
| 1649667718 | Deanna R Luvene | Counselor | 515b Camson Road, Abderson, SC 29625 | 2015-04-16 |
| 1386998458 | Judy E. Festa-hanna | Counselor | 226 Mcgee Road, Anderson, SC 29625 | 2012-10-29 |
| 1902156201 | Britanny Ab Rood | Pharmacist | 109 Hwy 28 Bypass, Anderson, SC 29625 | 2012-09-13 |
| 1689993065 | Carey Glenn | Midwife | 1107 Watkins Rd, Anderson, SC 29625 | 2010-05-24 |
| 1033350616 | Mobility Rehab Products, LLC | Durable Medical Equipment & Medical Supplies | 235 Polaris Street, Anderson, SC 29625 | 2009-03-12 |
| 1437329018 | Moriah Healthcare Services LLC | Clinic/Center | 823 Pearman Dairy Rd, Anderson, SC 29625 | 2008-03-10 |
| 1952513830 | Michael Ngoc Tran | Psychologist | 200 Mcgee Road, Anderson, SC 29625 | 2007-05-04 |
| Find all providers in zip 29625 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100246 | Meet Patel | Pharmacist | 210 Mcphail Farms Cir, Anderson, SC 29621-2579 | 2020-10-08 |
| 1194331280 | Bryan Sabo | Pharmacist | 4361 Sc-24, Anderson, SC 29626 | 2020-09-23 |
| 1184103178 | William Stephen Leonard | Pharmacist | 922 Highway 28 Byp, Anderson, SC 29624-1114 | 2018-08-09 |
| 1568986461 | Alexandra Jane Defore | Pharmacist | 1706 E Greenville St, Anderson, SC 29621-2009 | 2017-08-01 |
| 1023408358 | Charles Clinkscales | Pharmacist | 118 Parkside Dr, Anderson, SC 29621-7651 | 2015-01-26 |
| 1972945848 | Thomas James Bartz | Pharmacist | 4361 Hwy 24, Anderson, SC 29626 | 2013-07-22 |
| 1932444577 | Brianna Copeland Bobo | Pharmacist | 3801e Clemson Blvd, Anderson, SC 29621-1318 | 2012-12-09 |
| 1083958532 | Parita J Patel | Pharmacist | 2420 Marchbanks Ave, Apt # 6b, Anderson, SC 29621-2118 | 2012-11-22 |
| 1235489675 | Joseph P Scuro | Pharmacist | 2814 N. Main St, Anderson, SC 29621 | 2012-09-13 |
| 1144570441 | Tina H Hinson | Pharmacist | 2814 N. Main St., Anderson, SC 29621 | 2012-09-13 |
| Find all providers in ANDERSON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.