DUSTIN DICKERSON (NPI# 1427407857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427407857 |
| Entity Type | Individual |
| Full Name | DUSTIN DICKERSON |
| Credential | PHARMD |
| Practice Address |
1404 Four Star Dr E Galloway OH 43119-8441 |
| Practice Telephone | 6143150175 |
| Mailing Telephone | 6143150175 |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2016-06-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 03326656 | OH | Pharmacy Service Providers |
| Street Address |
1404 FOUR STAR DR E |
| City | GALLOWAY |
| State | OH |
| Zip Code | 43119-8441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720623945 | Sylvia A Horton | Counselor | 1978 Cardinal Trail Dr, Galloway, OH 43119 | 2019-11-12 |
| 1689076358 | Kelly Birnbrich | Occupational Therapist | 823 Thornview Dr, Galloway, OH 43119 | 2014-09-24 |
| 1043635261 | Katina Spanos | Speech-Language Pathologist | 1000 Alton Road, Galloway, OH 43119 | 2014-02-25 |
| 1427387810 | Adeline M Cursio | Registered Nurse | 1263 Amity Rd, Galloway, OH 43119 | 2009-12-14 |
| 1831323666 | Rennee Michelle Grishka | Physical Therapist | 581 Crestmont Court, Galloway, OH 43119 | 2009-05-07 |
| 1871705061 | Unique Noelle Martin | Licensed Practical Nurse | 1579 Morton Ct, Galloway, OH 43119 | 2007-05-03 |
| 1972724516 | Pamela S. Moser | Contractor | 6109 Jimson Dr., Galloway, OH 43119 | 2007-05-01 |
| 1801041355 | Rexall G Mccarley | Contractor | 1700 Heinzerling Dr, Columbus, OH 43119 | 2008-11-25 |
| 1770192304 | Roberta S Mckinley | Surgery | 5955 Carrbridge Ct, Galloway, OH 43119-1105 | 2020-07-29 |
| 1467665125 | Jamean R. Mallinson | Skilled Nursing Facility | 523 Star Spangled Pl, Galloway, OH 43119-8009 | 2007-05-08 |
| Find all providers in zip 43119 | ||||
| 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 |
|---|---|---|---|---|
| 1861863383 | Daniel Distefano | Pharmacist | 236 E Jimmie Leeds Rd Unit A, Galloway, NJ 08205-4134 | 2015-10-09 |
| 1417191461 | Dominique Marie Fields | Pharmacist | 65 W. Jimmie Leeds Road, Atlanticare Regional Medical Center, Galloway, NJ 08240 | 2009-04-21 |
| 1134121809 | David S Fascia | Pharmacist | 401 S Pitney Rd, Galloway, NJ 08205-9780 | 2005-08-12 |
| 1255956397 | Samuel Allen | Pharmacist | 5690 W Broad St, Galloway, OH 43119-8127 | 2020-06-15 |
| 1679003982 | Sean Anthony Swisher | Pharmacist | 236 E Jimmie Leeds Rd Ste C, Galloway, NJ 08205-4134 | 2017-06-19 |
| 1932635968 | Brian Speer | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-11 |
| 1205362167 | Brooke Mazza | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-11 |
| 1619403318 | Michael Welty | Pharmacist | 5800 W Broad St, Galloway, OH 43119-9531 | 2017-05-02 |
| 1730429085 | Ruth Mary Hackney | Pharmacist | 65 W Jimmie Leeds Rd, Galloway, NJ 08205-9403 | 2013-02-25 |
| 1720365067 | Michael Peter Barone | Pharmacist | 54 W Jimmie Leeds Rd, Galloway, NJ 08205-9438 | 2011-11-15 |
| Find all providers in GALLOWAY | ||||
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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.