Lori Dickerson, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

010475 Issued in KY

Practice address

300 Kroger Ctr
Morehead, KY 40351-8895

Phone

(606) 783-1476

Fax

(606) 780-9484

NPI assigned

Oct 21, 2020

Sex

Female

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

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 and National Provider Directory roles.

• Kroger Limited Partnership I

  dba Kroger Pharmacy #473

  • Community/Retail Pharmacy
  • Newport, KY
  • NPI 1104791078
  NPD (past)
• Kroger Limited Partnership I

  dba Kroger Pharmacy

  • Community/Retail Pharmacy
  • Morehead, KY
  • NPI 1427082262
  NPD (past)

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1235738295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 KROGER CTR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518895",
            "telephone_number": "606-783-1476",
            "fax_number": "606-780-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 KROGER CTR",
            "city": "MOREHEAD",
            "state": "KY",
            "postal_code": "403518895",
            "telephone_number": "606-783-1476",
            "fax_number": "606-780-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "LORI",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "010475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie A Dennison, M.D.
• Dental Health Professionals of Kentucky, P.S.C. (Beacon Hill Family Dentistry)
• Marie A.J. Denton, PHARMACIST
• Gabriela Diaz
• Eric Dale Dickerson, MS CCC/SLP
• Terri Dickerson, CADC
• Courtney Dillon
• Megan Dillon, MD
• Tyler Dittmann, DO
• Donna Dixon, LPCC, LADC, MA, MED

• Pharmacist in Morehead, KY
• Providers in Morehead, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.