Tricia Lyn Dissmore, RPH, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

14754-00 Issued in WI

Practice address

800 West Ave S
Skemp Clinic Pharmacy
La Crosse, WI 54601

Phone

(608) 392-9855

NPI assigned

Jan 28, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tricia Lyn Hall Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1083891584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 GREENWOOD ST",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546368003",
            "telephone_number": "608-526-9772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 WEST AVE S",
            "address_2": "SKEMP CLINIC PHARMACY",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-392-9855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "191 Theater Rd",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546508679",
            "country_code": "US",
            "telephone_number": "608-392-5009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Greenwood St",
            "address_purpose": "LOCATION",
            "city": "Holmen",
            "state": "WI",
            "postal_code": "546368003",
            "country_code": "US",
            "telephone_number": "608-526-9772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DISSMORE",
        "first_name": "TRICIA",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MN",
            "license": "122216",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "WI",
            "license": "14754-00",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdissmore29791@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "806 Greenwood St",
            "city": "Holmen",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546368003",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tdissmore29791@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "800 West Ave S",
            "address_2": "Skemp Clinic Pharmacy",
            "city": "La Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "54601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TRICIA",
            "last_name": "HALL",
            "middle_name": "LYN",
            "credential": "RPH, PHARMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Katy Jean Dillon
• Courtney Renee Dingfelder, BSW
• John T Dingman, D.D.S.
• Michael Ermolaos Dinos, DDS
• Abigale Grace Dirks
• Abbie J. Dittman, M.S., CCC-SLP
• Cayla Joanne Dittmer, CAA
• Martin Raymond Dittmer, MD
• Gail A Dix, MS, LCSW, LMFT
• J Male Dobbins, LPC-IT, MS

• Pharmacotherapy Pharmacist in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Pharmacotherapy Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.