DR. GREGORY KYLE DIXON (NPI# 1710294574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710294574 |
| Entity Type | Individual |
| Full Name | DR. GREGORY KYLE DIXON |
| Other Name | MR. GREGORY KYLE DIXON |
| Credential | GREGORY DIXON |
| Practice Address |
3100 Goodman Rd W Horn Lake MS 38637-1172 |
| Mailing Address |
1306 Harbor Park Dr Memphis TN 38103-9031 |
| Practice Telephone | 6625010377 |
| Mailing Telephone | 6625010377 |
| Enumeration Date | 2010-08-31 |
| Last Update Date | 2010-08-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-0101765 | MS | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376898395 | Gregory Andrew Dixon | Physical Therapist | 12501 Ne Bel Red Rd Ste 100, Bellevue, WA 98005-2509 | 2012-07-16 |
| 1740384361 | Gregory Kenneth Dixon | Optometrist | 696 Meadowbrook Dr, Culpeper, VA 22701-3971 | 2006-09-12 |
| 1467491514 | Gregory J Dixon | Specialist | 3177 Turner St, Placerville, CA 95667-5724 | 2006-06-05 |
| 1154530814 | Gregory Dixon | Case Manager/Care Coordinator | 4041 Knight Arnold Rd, Memphis, TN 38118-2128 | 2007-05-21 |
| Street Address |
3100 GOODMAN RD W |
| City | HORN LAKE |
| State | MS |
| Zip Code | 38637-1172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790970358 | Patrick O'briant | Pharmacist | 3100 Goodman Rd W, Horn Lake, MS 38637-1172 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
| 1609116581 | Horn Lake Eyecare Pllc | Optometrist | 2085 Goodman Rd, Horn Lake, MS 38637 | 2013-02-28 |
| 1487806121 | Midsouth Medical Specialties LLC | Pharmacy | 1433 Goodman Rd W, Horn Lake, MS 38637 | 2008-10-14 |
| 1356417992 | William E Middleton Jr Dds Pa | Dentist | 3011 Goodman Road W, Horn Lake, MS 38637 | 2006-11-27 |
| 1104297753 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2015-10-08 |
| 1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
| 1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
| 1730686932 | Bradley Thomas Loeffel | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-12 |
| 1437759388 | Sarah Walls | Private Vehicle | 3765 Hilltop Dr, Horn Lake, MS 38637-1030 | 2020-10-29 |
| 1497901417 | William E. Middleton Jr. | Dentist | 3011 Goodman Rd W, Horn Lake, MS 38637-1103 | 2008-08-10 |
| Find all providers in zip 38637 | ||||
| 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 |
|---|---|---|---|---|
| 1790970358 | Patrick O'briant | Pharmacist | 3100 Goodman Rd W, Horn Lake, MS 38637-1172 | 2007-09-07 |
| 1104427301 | Shelly Curtis | Pharmacist | 2401 Goodman Rd W, Horn Lake, MS 38637-1308 | 2020-11-04 |
| 1144837857 | John Bowen | Pharmacist | 4991 Highway 51 N, Horn Lake, MS 38637-8717 | 2020-09-27 |
| 1336752146 | Jonathan Huwe | Pharmacist | 4028 Goodman Rd W, Horn Lake, MS 38637-1325 | 2020-08-31 |
| 1720690498 | Kelsey Barnett Mize | Pharmacist | 4028 Goodman Rd W, Horn Lake, MS 38637-1325 | 2020-08-23 |
| 1326686254 | Ethan Stobaugh | Pharmacist | 3926 Goodman Rd W, Horn Lake, MS 38637-1324 | 2019-12-10 |
| 1417501594 | Megan Galloway | Pharmacist | 2401 Goodman Rd W, Horn Lake, MS 38637-1308 | 2019-07-28 |
| 1134617178 | Connie Irene Worley | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-25 |
| 1598252710 | Justin Mathis | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-13 |
| 1730686932 | Bradley Thomas Loeffel | Pharmacist | 4150 Goodman Rd, Horn Lake, MS 38637-0300 | 2018-04-12 |
| Find all providers in HORN LAKE | ||||
Please comment or provide details below to improve the information on DR. GREGORY KYLE DIXON.
| 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.