Active NPI
Lesley Gail Dickason
- Pharmacist
- Santa Rosa, CA
National Provider Identifier
1073833604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59185
- Practice address
- 1793 Marlow Rd
Santa Rosa, CA 95401-4474 - Phone
- (707) 544-8875
- Fax
- (707) 528-4914
- NPI assigned
- Jun 5, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 59185 | CA | Primary |
Addresses
Primary practice location
1793 Marlow Rd
Santa Rosa, CA 95401-4474
Mailing address
933 Helene CT
Rohnert Park, CA 94928-1460
Phone (707) 584-7651
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59185 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- Santa Rosa, CA
- NPI 1487763900
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275696000000",
"number": "1073833604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 HELENE CT",
"city": "ROHNERT PARK",
"state": "CA",
"postal_code": "949281460",
"telephone_number": "707-584-7651",
"fax_number": "707-584-7651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1793 MARLOW RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014474",
"telephone_number": "707-544-8875",
"fax_number": "707-528-4914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKASON",
"first_name": "LESLEY",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-05",
"last_updated": "2010-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "59185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.