Active NPI
Dave Lin Dixon, PHARMD.
- Pharmacotherapy Pharmacist
- Richmond, VA
National Provider Identifier
1023126133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 0202211090
- Practice address
- 410 N 12TH St
Richmond, VA 23298-5062 - Phone
- (804) 628-3784
- NPI assigned
- Aug 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18289 | NC | |
| Pharmacotherapy Pharmacist | 1835P1200X | 0202211090 | VA | Primary |
Addresses
Primary practice location
410 N 12TH St
Richmond, VA 23298-5062
Mailing address
11318 Eastcliff Dr
North Chesterfield, VA 23236-2480
Phone (804) 525-0685
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202211090 | VA | MD | Pharmacotherapy Pharmacist |
| 18289 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1023126133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11318 EASTCLIFF DR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232362480",
"telephone_number": "804-525-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N 12TH ST",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232985062",
"telephone_number": "804-628-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "DAVE",
"middle_name": "LIN",
"name_prefix": "Dr.",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-28",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18289",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "VA",
"license": "0202211090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.