Active NPI
Pamela Sue Dickens, PHARMACIST
- Pharmacist
- San Marcos, TX
National Provider Identifier
1093983561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25537
- Practice address
- 1305 Wonder World Dr Ste 102
San Marcos, TX 78666-7502 - Phone
- (512) 392-6777
- Fax
- (512) 392-6780
- NPI assigned
- Feb 18, 2008
- Last updated
- Feb 18, 2008
- 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 | 25537 | TX | Primary |
Addresses
Primary practice location
1305 Wonder World Dr Ste 102
San Marcos, TX 78666-7502
Mailing address
213 Pioneer TRL
San Marcos, TX 78666-2448
Phone (512) 787-6780
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 |
|---|---|---|---|
| 25537 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RX Management Consultants | Pharmacist | Past | Accepting new patients |
| RX Management Consultants Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/22579/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203292800000",
"number": "1093983561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 PIONEER TRL",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786662448",
"telephone_number": "512-787-6780",
"fax_number": "512-392-9300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 WONDER WORLD DR STE 102",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786667502",
"telephone_number": "512-392-6777",
"fax_number": "512-392-6780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "PAMELA",
"middle_name": "SUE",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-18",
"last_updated": "2008-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "25537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.