Dane M Fickes, PHARMD

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH-0016659 Issued in OR

Practice address

724 S Central Ave Ste 101G
Medford, OR 97501-7808

Phone

(541) 329-0478

Fax

(541) 314-9556

NPI assigned

Jul 12, 2018

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)

Enrolled

Credentials

Doctor of Pharmacy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Eden Healthcare LLC

  • Community/Retail Pharmacy
  • Medford, OR
  • NPI 1194317909
  NPD Authorized official
• Eden Practitioners LLC

  dba Eden Practitioners

  • Family Nurse Practitioner
  • Medford, OR
  • NPI 1376219147

  Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist

  NPD Authorized official

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1225514375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S CENTRAL AVE STE 101G",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017808",
            "telephone_number": "541-329-0478",
            "fax_number": "541-314-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S CENTRAL AVE STE 101G",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017808",
            "telephone_number": "541-329-0478",
            "fax_number": "541-314-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FICKES",
        "first_name": "DANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-12",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "OR",
            "license": "RPH-0016659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John David Ferrin, D.M.D. , MS
• Millicent Ferris
• Valerie Ferro
• Morgan D Ferros, MD
• Jeffrey E Feyerharm, RPH
• Paul Daniel Fickes, PMHNP-BC
• Shelly Myume Emi Fickes, LCSW
• Lynnette Regina Fields, MS
• Shannon Christine Fife, DO
• Silva Figueroa

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.