DR. JAMES QUINTON DICKERSON IV (NPI# 1811204134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811204134 |
| Entity Type | Individual |
| Full Name | DR. JAMES QUINTON DICKERSON IV |
| Credential | PHARM.D |
| Practice Address |
801 N Main St Mt Pleasant TN 38474-1017 |
| Practice Telephone | 9313795000 |
| Mailing Telephone | 9313795000 |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2010-09-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
13200 | TN | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346465564 | James Alan Dickerson | Psychologist | 125 W 2nd Ave, Hutchinson, KS 67501-5300 | 2007-04-14 |
| 1902859267 | James Michael Dickerson | Chiropractor | 2592 N Gregg Ave, Ste 1, Fayetteville, AR 72703-5543 | 2006-05-18 |
| 1851897813 | James Charles Dickerson | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive, Lane 154, Stanford, CA 94305-5133 | 2018-03-30 |
| 1932390184 | James Glenn Dickerson | Social Worker | 2007 State St, Washington, IN 47501-8505 | 2007-08-05 |
| 1760548036 | James Albert Dickerson II | Surgery | 36000 Darnall Loop, Carl R. Darnall Army Medical Center, Fort Hood, TX 76544 | 2006-12-29 |
| 1134203144 | James F Dickerson | Dentist | 389 Main St, Salem, NH 03079 | 2006-10-25 |
| 1801839444 | James Davin Dickerson | Nurse Practitioner | 300 W Broadway, Council Bluffs, IA 51503-9045 | 2006-06-13 |
| 1023004512 | James Wiley Dickerson IIi | Psychiatry & Neurology | 1200 Hilyard St, Suite S-460, Eugene, OR 97401-8122 | 2005-09-21 |
| 1073508289 | James G Dickerson Sr. | Pharmacist | 601 N 30th St, Suite 2807, Omaha, NE 68131-2137 | 2005-09-14 |
| Street Address |
801 N MAIN ST |
| City | MT PLEASANT |
| State | TN |
| Zip Code | 38474-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174048268 | Walgreen Co | Pharmacy | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2017-08-09 |
| 1164710190 | Kelley Jo Blocker | Pharmacist | 801 N Main St, Mt Pleasant, TN 38474-1017 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750891677 | Diabetes Management Associates | Registered Nurse | 401 First Avenue, Mt. Pleasant, TN 38474 | 2017-10-05 |
| 1124107354 | Tadd T Thompson | Family Medicine | 4955 D Hwy 43 North, Mount Pleasant, TN 38474 | 2006-11-06 |
| 1275611600 | Delia Fernandez | Dentist | 703 N. Main St., Mt. Pleasant, TN 38474 | 2006-11-02 |
| 1659485183 | Charles Vance Hendrickson | Dentist | 703 N Main St, Mt Pleasant, TN 38474 | 2006-08-19 |
| 1225246630 | Carolyns Transportation | Non-emergency Medical Transport (VAN) | 108 Iris Dr, Mt Pleasant, TN 38474-1009 | 2007-05-18 |
| 1902909385 | Michael L Tyler | Dentist | 703 North Main Street, Mt Pleasant, TN 38474-1015 | 2006-09-07 |
| 1083181531 | Michael L. Tyler Dds | Clinic/Center | 703 N Main St, Mt Pleasant, TN 38474-1015 | 2018-11-01 |
| 1235619271 | Lynn Ruch | Physical Therapist | 815 N Main St, Mt Pleasant, TN 38474-1017 | 2018-08-20 |
| 1235639584 | Fast Pace Medical Clinic, Pllc | Family Medicine | 811 N Main St, Mt Pleasant, TN 38474-1017 | 2018-02-13 |
| 1952796575 | Mary Houston Hull | Registered Nurse | 811 N Main St, Mount Pleasant, TN 38474-1017 | 2015-03-31 |
| Find all providers in zip 38474 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322081 | Sarah Murphy | Pharmacist | 800 Ridge Lake Blvd Ste 100, Memphis, TN 38120-9442 | 2020-10-05 |
| 1669008397 | Amanda Jackson | Pharmacist | 1418a W Main St Ste A, Lebanon, TN 37087-3114 | 2020-03-13 |
| 1841822640 | Vip Pet Meds Inc | Pharmacist | 14675 Highway 194, Oakland, TN 38060-4133 | 2020-02-10 |
| 1669019188 | Corey D Grimshaw | Pharmacist | Tucker Pharmacy, 2415 Fairview Blvd, Fairview, TN 37062-3706 | 2019-12-03 |
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1265929863 | Felicia Sells | Pharmacist | 2629 Decherd Blvd, Winchester, TN 37398-1166 | 2018-04-18 |
| 1588172449 | Tarmeshia Marable | Pharmacist | 2021 25th Ave N, Nashville, TN 37208-1305 | 2018-01-12 |
| 1649799339 | Benjamin Duhart Jr. | Pharmacist | 1265 Union Avenue- Methodist University Hospital, Ground Floor Pharmacy Administration, Memphis, TN 38104 | 2017-09-13 |
| 1205358074 | Erica Brooke Schlesinger | Pharmacist | 500 Deaderick St, Nashville, TN 37243-0001 | 2017-07-12 |
| 1851823173 | Scott Denno | Pharmacist | 1406 Derby Trce, Nashville, TN 37211-7344 | 2017-03-28 |
| Find all providers with the same taxonomy | ||||
| City | MT PLEASANT |
| Zip Code | 38474 |
Please comment or provide details below to improve the information on DR. JAMES QUINTON DICKERSON IV.
| 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.