Tom Richard Dirkovich, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28096 Issued in CA

Practice address

4001 King Ave
Corcoran, CA 93212-9611

Phone

(559) 992-8800

NPI assigned

Aug 11, 2014

Last updated

Aug 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Corrections and Rehabilitation-Headquarters

  dba Corcoran State Prison Hospital Pharmacy

  • Pharmacy
  • Corcoran, CA
  • NPI 1376190876
  NPD (past)
• CSP-Corcoran

  • Case Management Agency
  • Corcoran, CA
  • NPI 1265772198
  NPD (past)

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

{
    "created_epoch": "1407715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407715200000",
    "number": "1225447675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "559-992-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KING AVE",
            "city": "CORCORAN",
            "state": "CA",
            "postal_code": "932129611",
            "telephone_number": "559-992-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKOVICH",
        "first_name": "TOM",
        "middle_name": "RICHARD",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-11",
        "last_updated": "2014-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "28096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindi Dardin-Box, LCSW
• David R. King, O.D., Inc.
• Daybreak Health
• Nicholas Preston Delacruz, DDS
• Aron Deutinger
• Ricki Leila Dooley, PH.D.
• E Scott Nielsen MD PC (Corcoran Wellcare Medical Group)
• Alexander Spencer Edwards, MSW
• Eliverto Elias I, LCSW
• Eminence Healthcare Services, LLC

• Pharmacist in Corcoran, CA
• Providers in Corcoran, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.