DR. NIKKI Y DICKERSON (NPI# 1336401595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336401595 |
| Entity Type | Individual |
| Full Name | DR. NIKKI Y DICKERSON |
| Credential | PHARM.D |
| Practice Address |
551 Dal Hall Blvd # 47 Lake Placid FL 33852-5446 |
| Practice Telephone | 7725598909 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PU6790 | FL | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | PS45468 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922407329 | Nikki Dickerson | Counselor | 415 Audubon Dr, Paducah, KY 42001-4849 | 2014-08-21 |
| 1326220054 | Nikki R Dickerson | Speech-Language Pathologist | 5979 Brookside Oak Cir, Norcross, GA 30093-1753 | 2007-12-05 |
| Street Address |
551 DAL HALL BLVD # 47 |
| City | LAKE PLACID |
| State | FL |
| Zip Code | 33852-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728763 | Eduardo Enrique Florez | Behavior Technician | 621 S Sun N Lakes Blvd, Lake Placid, FL 33852 | 2018-07-30 |
| 1841738051 | Halcyon Rehabilitation, LLC | Clinic/Center | 1297 Us-27, Lake Placid, FL 33852 | 2017-02-08 |
| 1386014009 | Randolph Giller | Hearing Instrument Specialist | 403 E. Interlake Blvd., Lake Placid, FL 33852 | 2015-10-07 |
| 1275918369 | Toyeca Robinson | Technician, Other | 448 Lake Gloria Dr, Lake Placid, FL 33852 | 2015-07-30 |
| 1720422405 | Nic 4 Balmoral Leasing LLC | Assisted Living Facility | 93 Balmoral Drive, Lake Placid, FL 33852 | 2013-04-24 |
| 1720036908 | Stephanie Delbert | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2006-05-04 |
| 1821084013 | Eladio Lao | Anesthesiology | 1012 Hwy 27 N, Lake Placid, FL 33852 | 2005-09-22 |
| 1699204693 | Stephaniedelbert,arnp,inc | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2017-06-05 |
| 1639228398 | James Edward Oxer | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2007-01-10 |
| 1093293847 | Thomas Veronee | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2018-08-03 |
| Find all providers in zip 33852 | ||||
| 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 |
|---|---|---|---|---|
| 1588900104 | Carin D Bralts | Pharmacist | 342 E Royal Palm St, Lake Placid, FL 33852-5019 | 2012-12-31 |
| 1245511286 | Spencer Provan | Pharmacist | 1208 Driscoll Dr, Lake Placid, FL 33852-9647 | 2011-09-05 |
| 1184804452 | Donald Peter Light | Pharmacist | 2140 Saranac Ave, Lake Placid, NY 12946-1181 | 2007-11-05 |
| 1699895854 | Melinda S Murray | Pharmacist | 133 Tower St, Lake Placid, FL 33852-6836 | 2007-03-30 |
| 1811975766 | Jewel Sharon Camille Richards-lee | Pharmacist | 586 Us Highway 27 N, Lake Placid, FL 33852-9508 | 2006-01-01 |
| 1790784346 | Lake Placid Drug Co. | Pharmacist | 224 E Interlake Blvd, Lake Placid, FL 33852-9603 | 2005-07-16 |
| 1538718465 | Vladimyr H B Pierre | Pharmacist | 5 Us 27 S, Lake Placid, FL 33852-7916 | 2019-09-04 |
| 1649755059 | Ivan Jose Grondona Consuegra | Pharmacist | 5 Us 27 S, Lake Placid, FL 33852-7916 | 2018-10-02 |
| 1730663998 | Ayla Thompson | Pharmacist | 2140 Saranac Ave, Lake Placid, NY 12946-1149 | 2018-09-23 |
| 1184915381 | Colette Lettero | Pharmacist | 45 Hadjis Way, Suite 6, Lake Placid, NY 12946-1270 | 2011-04-22 |
| Find all providers in LAKE PLACID | ||||
| City | LAKE PLACID |
| Zip Code | 33852 |
Please comment or provide details below to improve the information on DR. NIKKI Y DICKERSON.
| 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.