MICKEY DYER (NPI# 1548636624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548636624 |
| Entity Type | Individual |
| Full Name | MICKEY DYER |
| Credential | PHARMD |
| Practice Address |
4648 Heartwood Way Castle Rock CO 80109-4509 |
| Practice Telephone | 5803023563 |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2015-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 14242 | OK | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 18671 | CO | Pharmacy Service Providers |
| Street Address |
4648 HEARTWOOD WAY |
| City | CASTLE ROCK |
| State | CO |
| Zip Code | 80109-4509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831686674 | Castle Rock Surgicenter, LLC | Clinic/Center | 4700 Castleton Way Ste 101, Castle Rock, CO 80109 | 2018-04-17 |
| 1467957746 | Elevation Vision Od Pllc | Optometrist | 658 Genoa Way, Unit B, Castle Rock, CO 80109 | 2018-03-28 |
| 1700229242 | Clare Ingram French | Surgery | 2352 Meadows Blvd Ste 220, Castle Rock, CO 80109 | 2013-04-15 |
| 1467790956 | Celeste Clippinger | Physical Therapist | 3470 Dacoro Lane, Suite 105, Castle Rock, CO 80109 | 2013-01-18 |
| 1003175696 | Candice Jessica Geist | Obstetrics & Gynecology | 2352 Meadows Blvd Ste 255, Castle Rock, CO 80109 | 2012-05-16 |
| 1760756704 | Hilary Sauder | Occupational Therapist | 3427 Dinosaur St, Castle Rock, CO 80109 | 2012-03-07 |
| 1043503568 | James Daniel Jensen | Dermatology | 4350 Limelight Ave, Suite 205, Castle Rock, CO 80109 | 2011-05-17 |
| 1174712152 | Aaron Pierce Goodman | Dentist | 3993 Limelight Ave., E, Castle Rock, CO 80109 | 2007-10-16 |
| 1851437925 | Pamela Rose Kinder | Psychiatry & Neurology | 4350 Limelight Ave., Suite #250, Castle Rock, CO 80109 | 2007-01-29 |
| 1942228457 | Paul A Stone | Podiatrist | 2352 Meadows Blvd Ste 270, Castle Rock, CO 80109 | 2006-07-17 |
| Find all providers in zip 80109 | ||||
| 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 |
|---|---|---|---|---|
| 1447891809 | Marybeth Grimes | Pharmacist | 7714 Weaver Cir, Castle Rock, CO 80104-5515 | 2019-10-07 |
| 1114325313 | Sara Sheldon | Pharmacist | 1613 Baguette Dr, Castle Rock, CO 80108-7792 | 2014-12-21 |
| 1407253586 | Lindi Lewis | Pharmacist | 1418 Sky Rock Way, Castle Rock, CO 80109-3691 | 2014-12-04 |
| 1093091803 | Helina Wanko | Pharmacist | 1431 Switch Grass Ct, Castle Rock, CO 80109-3514 | 2011-10-25 |
| 1417257775 | Patricia C Schroeder | Pharmacist | 560 E Castle Pines Pkwy, Castle Rock, CO 80108-4606 | 2010-11-02 |
| 1851392286 | Linda Wieland | Pharmacist | 7284 Lagae Rd, Castle Rock, CO 80108-9451 | 2005-08-09 |
| 1659912616 | Marie Frye | Pharmacist | 880 S Perry St, Castle Rock, CO 80104-1991 | 2019-10-01 |
| 1811542509 | Rebecca Dianne Orwig | Pharmacist | 5544 Promenade Pkwy, Castle Rock, CO 80108-1903 | 2019-08-08 |
| 1477116838 | Bethanie Lan Ngoc Tran | Pharmacist | 133 Sam Walton Ln, Castle Rock, CO 80104-7933 | 2019-04-20 |
| 1184287104 | Christopher Henderson | Pharmacist | 133 Sam Walton Ln, Castle Rock, CO 80104-7933 | 2019-04-16 |
| Find all providers in CASTLE ROCK | ||||
| City | CASTLE ROCK |
| Zip Code | 80109 |
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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.