Active NPI
Lori Dickson, RPH
- Pharmacist
- Golden Valley, MN
National Provider Identifier
1073978516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 114211
- Practice address
- 4895 Bassett Creek Dr
Golden Valley, MN 55422-4169 - Phone
- (763) 588-9933
- NPI assigned
- Dec 29, 2015
- Last updated
- Dec 29, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 114211 | MN | Primary |
Addresses
Primary practice location
4895 Bassett Creek Dr
Golden Valley, MN 55422-4169
Mailing address
4895 Bassett Creek Dr
Golden Valley, MN 55422-4169
Phone (763) 588-9933
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114211 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451347200000",
"number": "1073978516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4895 BASSETT CREEK DR",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224169",
"telephone_number": "763-588-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4895 BASSETT CREEK DR",
"city": "GOLDEN VALLEY",
"state": "MN",
"postal_code": "554224169",
"telephone_number": "763-588-9933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "LORI",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-29",
"last_updated": "2015-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "114211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Golden Valley, MN
- Carley Ellen Devee, PHARMD
- Jodi Lynn Dezale, MA CCC SLP
- Dianne L. Como, DC, PA (Back in Shape Chiropractic)
- Andrea Dickinson
- John Kent Dickson, RPH
- Benjamin Alan Dingman
- Fartun Dirie
- Angela Dawn Dirks, LPCC, ATR
- Distinctive Eyewear, LLC (Northwest Eyewear)
- Distinctive Eyewear, LLC (Northwest Eyewear)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.