REBECCA DICKERSON (NPI# 1992175350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992175350 |
| Entity Type | Individual |
| Full Name | REBECCA DICKERSON |
| Practice Address |
2300 Griffin Rd Lakeland FL 33810-6760 |
| Mailing Address |
3106 Creekdale Ct Brandon FL 33511-7316 |
| Practice Telephone | 8638581146 |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PS54055 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902441983 | Rebecca Taylor Dickerson | Psychiatry & Neurology | 5927 Old Timuquana Rd, Jacksonville, FL 32210-7889 | 2019-11-13 |
| 1427290337 | Rebecca Rae Dickerson | Nurse Practitioner | 12060 County Line Rd, Suite D, Madison, AL 35756-2003 | 2009-03-24 |
| 1386787125 | Rebecca Dickerson | Counselor | 1340h Patton Avenue, Asheville, NC 28806 | 2007-02-14 |
| 1952943821 | Rebecca Dickerson | Pharmacist | 200 W Arbor Dr, San Diego, CA 92103-9000 | 2019-10-12 |
| 1588129662 | Rebecca Dickerson | Social Worker | 180 North St, Auburn, NY 13021-1811 | 2019-02-04 |
| Street Address |
2300 GRIFFIN RD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33810-6760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144260522 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2006-06-07 |
| 1174171227 | Joseph Plourde | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2019-09-02 |
| 1629587787 | Tyler Cureton | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2017-09-21 |
| 1477009512 | Andrea Cameron | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2016-08-29 |
| 1871964403 | Somer Elizabeth Harvey | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2015-10-08 |
| 1629315676 | Richard Rowles | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2013-01-10 |
| 1417236035 | Benjamin David Buie | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2011-08-12 |
| 1811195589 | Robert Lee Marx Jr. | Pharmacist | 2300 Griffin Rd, Lakeland, FL 33810-6760 | 2007-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811495096 | Suzanne Brabant | Social Worker | 8179 Westmont Terrace Drive, Lakeland, FL 33810 | 2018-01-23 |
| 1396102554 | Faison Health Care Solution | Custodial Care Facility | 2064 View Point Landings Rd, Lakeland, FL 33810 | 2016-01-19 |
| 1306212808 | Drew Brownlow | Physical Therapy Assistant | 6303 Brahman Drive, Lakeland, FL 33810 | 2015-08-19 |
| 1043699051 | Ilene Shumaker Griffin | Home Health Aide | 2930 Oak Tree Ln, Lakeland, FL 33810 | 2015-05-22 |
| 1962881276 | Richardson Anointing Hands | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 708east Ponderosa Dr, Lakeland, FL 33810 | 2015-05-20 |
| 1336352756 | Avito Veloso Vano | Physical Therapist | 9460 Redhawk Bend Lane, Lakeland, FL 33810 | 2007-05-08 |
| 1104978444 | Jean Bednarski Waters | Registered Nurse | 8516 N Campbell Rd, Lakeland, FL 33810 | 2007-01-17 |
| 1407892656 | David Willis Kent | Counselor | 930 Alicea Rd, Lakeland, FL 33810 | 2006-06-22 |
| 1972818359 | Suzanne B Stewart | Pharmacist | 3120 Kathleen Rd, Lakeland, FL 33810 | 2010-08-10 |
| 1689117228 | Kyosha Howard | Occupational Therapist | 3624 Country Ln, Lakeland, FL 33810-0238 | 2016-11-30 |
| Find all providers in zip 33810 | ||||
| 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 |
|---|---|---|---|---|
| 1497384085 | Rodjsyne Jones | Pharmacist | 350 Eagles Landing Dr, Lakeland, FL 33810-2999 | 2020-04-06 |
| 1487293445 | Pankaj D Patel | Pharmacist | 3656 Frentress Dr, Lakeland, FL 33812-1206 | 2019-12-22 |
| 1598324436 | Wesley Zane Hamlin | Pharmacist | 1324 Lakeland Hills Blvd # 203, Lakeland, FL 33805-4543 | 2019-06-12 |
| 1518422971 | Prime Therapeutic Consulting & Services, LLC | Pharmacist | 120 W Hickory St, Lakeland, FL 33815-4715 | 2019-02-09 |
| 1982103255 | Robert James Fournier | Pharmacist | 2025 Sylvester Rd Unit J2, Lakeland, FL 33803-3577 | 2018-02-01 |
| 1952846685 | Tara Talisea Guyher | Pharmacist | 2576 Boots Rd, Lakeland, FL 33810-5158 | 2017-01-04 |
| 1003288556 | Casey Ray Hanks | Pharmacist | 12360 Lakeland Acres Rd, Lakeland, FL 33810-1016 | 2015-10-23 |
| 1528430238 | Roshan Nathoo | Pharmacist | 7387 Us Highway 98 N, Lakeland, FL 33809-2102 | 2015-10-21 |
| 1760853832 | Cheryl Adele Minozzi | Pharmacist | 5524 Scott View Ln, Lakeland, FL 33813-3064 | 2015-10-14 |
| 1275912073 | Brent Williams | Pharmacist | 2016 Sophia Pl, Lakeland, FL 33811-2684 | 2015-05-26 |
| Find all providers in LAKELAND | ||||
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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.