Individual provider Active NPI

Ernest D Dixon, RPH.

  • Pharmacist
  • Chantilly, VA
National Provider Identifier
1093006124
Registry record updated Apr 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
0202009713 Issued in VA
Practice address
4080 Lafayette Center Dr
Chantilly, VA 20151-1247
Phone
(703) 266-3667
Fax
(703) 266-3361
NPI assigned
Apr 24, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 0202009713 VA Primary

Addresses

Primary practice location

4080 Lafayette Center Dr
Chantilly, VA 20151-1247

Mailing address

43828 Churchill Glen Dr
Chantilly, VA 20152-5769
Phone (703) 901-6503

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

LicenseStateTypeSpecialty
0202009713VAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1303603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303603200000",
    "number": "1093006124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43828 CHURCHILL GLEN DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201525769",
            "telephone_number": "703-901-6503",
            "fax_number": "703-266-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4080 LAFAYETTE CENTER DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201511247",
            "telephone_number": "703-266-3667",
            "fax_number": "703-266-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ERNEST",
        "middle_name": "D",
        "credential": "RPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-24",
        "last_updated": "2011-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2011; 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.