DICKERSONS PHARMACY INC (NPI# 1871658039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871658039 |
| Entity Type | Organization |
| Organization Name | DICKERSONS PHARMACY INC |
| Other Organization Name | DICKERSONS PHARMACY INC |
| Practice Address |
503 Doctors Dr Elizabethtown NC 28337 |
| Mailing Address |
503 Doctors Dr Po Box 426 Elizabethtown NC 28337 |
| Practice Telephone | 9108623465 |
| Practice Fax Number | 9108624917 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-01-18 |
| Authorized Official Name | BRUCE DICKERSON (PRES) |
| Authorized Official Telephone | 9108623465 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
04491 | NC | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 0095182 | 05 | |
| NC | 7701212 | 05 | |
| PK | 2065838 | 01 |
| Other Name | Type Code |
|---|---|
| DICKERSONS PHARMACY INC | Doing Business As Name - Organization |
| Street Address |
503 DOCTORS DR |
| City | ELIZABETHTOWN |
| State | NC |
| Zip Code | 28337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439799 | John Archie Jackson Jr. | Counselor | 209 Martin Luther King Dr, Elizabethtown, NC 28337 | 2019-10-23 |
| 1649826447 | Donna Marie Gray | Technician | 1797 Mercer Mill Rd, Elizabethtown, NC 28337 | 2019-08-16 |
| 1053972877 | Professional Eye Care Optometry, Pa | Optometrist | 432 W Broad St, Elizabethtown, NC 28337 | 2019-06-24 |
| 1255896015 | Andersons Drug Store LLC | Durable Medical Equipment & Medical Supplies | 206 S. Poplar St., Elizabethtown, NC 28337 | 2019-02-06 |
| 1336618602 | Genese Anderson Peed | Pharmacist | 206 South Poplar, Elizabethtown, NC 28337 | 2018-11-16 |
| 1528559671 | Bladen Healthcare LLC | Clinic/Center | 273 White Lake Dr, White Lake, NC 28337 | 2018-05-24 |
| 1821586918 | Coastal Horizons Center Inc. | Community/Behavioral Health | Coastal Horizons Center, Inc. - Bladen Day Treatment, 1496 Hwy 701 S., Elizabethtown, NC 28337 | 2018-04-25 |
| 1205353117 | Brianna Stalnaker | Pharmacist | 371 S Poplar St, Elizabethtown, NC 28337 | 2017-08-23 |
| 1982124681 | Justin M Degarmo Dmd & Ann Hamill Greene Dds Pa | Dentist | 401 Doctors Drive, Elizabethtown, NC 28337 | 2017-06-23 |
| 1336676121 | Megan Mcwhorter | Physical Therapy Assistant | 804 South Poplar Street, Elizabethtown, NC 28337 | 2017-05-11 |
| Find all providers in zip 28337 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107985 | Apothecare Pharmacy of Elizabethtown Psc | Pharmacy | 1016 N Mulberry St, Elizabethtown, KY 42701-2173 | 2017-11-10 |
| 1659726586 | K Mart Pharmacy #4753 | Pharmacy | 1809 N Dixie Ave, Elizabethtown, KY 42701-9451 | 2016-04-28 |
| 1154758514 | Adio Health Management Solutions | Pharmacy | 150 Raleigh Dr Ste 3, Elizabethtown, KY 42701-7139 | 2013-10-01 |
| 1043455264 | Sam's East Inc | Pharmacy | 1500 Ring Rd, Elizabethtown, KY 42701-7984 | 2008-12-03 |
| 1558450544 | Sloan's Pharmacy, Inc. | Pharmacy | 428 Cloverleaf Rd, Elizabethtown, PA 17022-9320 | 2006-10-11 |
| 1134223977 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 1575 S Market St, Elizabethtown, PA 17022-2880 | 2006-09-12 |
| 1073616744 | North Carolina Cvs Pharmacy LLC | Pharmacy | 371 S Polar St, Elizabethtown, NC 28337 | 2006-09-07 |
| 1609882166 | Walgreen Co | Pharmacy | 1008 N Mulberry St, Elizabethtown, KY 42701-2037 | 2006-08-01 |
| 1124033360 | Walgreen Co | Pharmacy | 1602 N Dixie Ave, Elizabethtown, KY 42701-2682 | 2006-07-29 |
| 1336529262 | Ingram & Ball, Pllc | Pharmacy | 2412 Ring Rd Ste 200, Elizabethtown, KY 42701-5913 | 2015-06-05 |
| Find all providers in ELIZABETHTOWN | ||||
| City | ELIZABETHTOWN |
| Zip Code | 28337 |
Please comment or provide details below to improve the information on DICKERSONS PHARMACY INC.
| 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.