Alan John Dickman

Primary specialty

PharmacistTaxonomy code 183500000X

License

14836-40 Issued in WI

Practice address

2785 Milwaukee Rd
Beloit, WI 53511-6915

Phone

(608) 362-7774

Fax

(608) 362-7503

NPI assigned

Dec 9, 2019

Last updated

Dec 9, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1215574231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4248 BRAXTON DR",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535463539",
            "telephone_number": "608-371-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 MILWAUKEE RD",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535116915",
            "telephone_number": "608-362-7774",
            "fax_number": "608-362-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKMAN",
        "first_name": "ALAN",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-09",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WI",
            "license": "14836-40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin Densch, RPH
• Robert John Derby, NP
• Chitra Desai, M.D.
• Prachi Rakesh Desai, DMD
• Sanjay S Deshpande, M.D.
• Steven E Diebold, MD
• Tracie Dill, SAC-IT
• Lindsay Dillon
• Michelle Suzanne Dishinger, SLP
• Melissa Eleanor Ditzler, LPN

• Pharmacist in Beloit, WI
• Providers in Beloit, WI by specialty
• Pharmacist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; 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.