Jeff Dixon
Individual provider Active NPI Pharmacist · Eagle Butte, SD
NPI 1063976025 · NPPES record last updated Jan 24, 2019
Key facts
- NPI
- 1063976025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS56146 (FL)
- Practice address
- Cheyenne River Health Center 24276 Airport Rd., 166TH S
Eagle Butte, SD 57625 - Phone
- (605) 964-1520
- NPI assigned
- Jan 24, 2019
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS56146 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS56146 | FL | Yes |
Addresses
Primary practice location
Cheyenne River Health Center 24276 Airport Rd., 166TH S
Eagle Butte, SD 57625
Mailing address
24276 Airport Rd., 166TH Street
Eagle Butte, SD 57625
Phone (605) 964-1520
Other providers in Eagle Butte, SD
- Jamie Cottier
- CRST Community Health Representatives (CHR) Program
- Heather Josette Cuny
- Madisen Dean
- Lance Marshall Dillon
- Tierney Jo Donovan
- Mary K. Dosch
- Leila Dougherty
- Ashley Drum
- Annmarie Ducheneaux
All providers in Eagle Butte, SD · Pharmacist in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.