KELLY DICKEY (NPI# 1457755993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457755993 |
| Entity Type | Individual |
| Full Name | KELLY DICKEY |
| Practice Address |
1180 N State St San Jacinto CA 92583-6318 |
| Mailing Address |
11233 Dumetz Ln Loma Linda CA 92354-6578 |
| Practice Telephone | 9514871915 |
| Mailing Telephone | 9095758381 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 71658 | CA | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821424862 | Kelly Anne Dickey | Specialist | 353 Sunny Ln, Franklin Square, NY 11010-3932 | 2013-09-23 |
| 1124221122 | Kelly Marie Dickey | Speech-Language Pathologist | 651 5th Ave E, Cdrc Rm 262, Tuscaloosa, AL 35401-7424 | 2007-06-07 |
| 1578164455 | Kelly Dickey | Pharmacist | 109 Malone Dr, Arkadelphia, AR 71923-8111 | 2020-11-05 |
| Street Address |
1180 N STATE ST |
| City | SAN JACINTO |
| State | CA |
| Zip Code | 92583-6318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942520580 | Peter Dinh Nguyen | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2010-06-06 |
| 1306304415 | David Downham | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2019-03-07 |
| 1366759813 | Sayyed Dhiaaddin Saadi | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2010-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306459615 | Walgreen Co | Pharmacy | 23335 Soboba Rd, San Jacinto, CA 92583 | 2020-08-26 |
| 1295399632 | Suhaila Mahjabeen Arif | Student in an Organized Health Care Education/Training Program | 651 North State Street, San Jacinto, CA 92583 | 2019-04-30 |
| 1083146328 | United Family Pharmacy, LLC | Pharmacy | 1221 S. San Jacinto Ave, San Jacinto, CA 92583 | 2017-03-28 |
| 1699127118 | Matthew Siragusa | Dental Assistant | 792 Salinger Pl, San Jacinto, CA 92583 | 2016-07-08 |
| 1326431966 | Empire Mobility | Durable Medical Equipment & Medical Supplies | 1499 Old Mountain Ave, Spc127, San Jacinto, CA 92583 | 2015-03-06 |
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1770831489 | Neelam Gupta M.d. Inc. | Clinic/Center | 343 E Main Street, 106, San Jacinto, CA 92583 | 2012-08-28 |
| 1407154040 | Elizabeth Santillana Contla | Registered Nurse | 1370 S. State Street, Ste B, San Jacinto, CA 92583 | 2011-03-07 |
| 1902125636 | Tonnette Na Ellis | Counselor | 1854 Hemet St, San Jacinto, CA 92583 | 2010-05-20 |
| 1851525315 | Lydia Meria Reece | Physician Assistant | 229 West 7th Street, San Jacinto, CA 92583 | 2009-05-12 |
| Find all providers in zip 92583 | ||||
| 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 |
|---|---|---|---|---|
| 1598102485 | Ribhi A Hamad | Pharmacist | 1181 N Sate St, San Jacinto, CA 92583 | 2013-05-31 |
| 1477823763 | Sean Yu | Pharmacist | 2261 W. Esplanade Ave, San Jacinto, CA 92582 | 2012-01-04 |
| 1285912709 | Ly Pham Dang | Pharmacist | 1271 N State St, San Jacinto, CA 92583-6315 | 2011-08-01 |
| 1780991539 | Yea-shin Yeh | Pharmacist | 1605 S San Jacinto Ave, San Jacinto, CA 92583-5181 | 2010-08-31 |
| 1942520580 | Peter Dinh Nguyen | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2010-06-06 |
| 1770105488 | Bao-nguyen Truong | Pharmacist | 1811 S San Jacinto Ave, San Jacinto, CA 92583-5605 | 2020-05-15 |
| 1528607637 | Thuy Nguyen | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2020-01-06 |
| 1861037525 | Lisa Sungsook Lee | Pharmacist | 102 S Sanderson Ave, San Jacinto, CA 92582-3798 | 2019-11-16 |
| 1306304415 | David Downham | Pharmacist | 1180 N State St, San Jacinto, CA 92583-6318 | 2019-03-07 |
| 1598246944 | Nadia Nguyen | Pharmacist | 1811 S San Jacinto Ave, San Jacinto, CA 92583-5605 | 2018-08-23 |
| Find all providers in SAN JACINTO | ||||
| City | SAN JACINTO |
| Zip Code | 92583 |
Please comment or provide details below to improve the information on KELLY DICKEY.
| 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.