Jenny Dixon

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH030218 Issued in GA

Practice address

110 Hawthorne Ave
Athens, GA 30606-2814

Phone

(706) 543-2951

NPI assigned

Sep 20, 2017

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Athens, GA
  • NPI 1225043334
  NPD
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1073022216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HAWTHORNE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062814",
            "telephone_number": "706-543-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "JENNY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2022-12-19",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH030218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ray Dillon, ATC
• Frank J Dipalma, DPM LTD
• Randall James Dishaw, D.C.
• Julie Dispoto, OTR/L
• Kelly Dixon-Martin, MD
• Karen Dixon
• DM & Adr, Inc.
• DME Assistance
• Stephanie Kamila Doblack-Mellum, BS
• Doc Todd Love

• Pharmacist in Athens, GA
• Providers in Athens, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.