Active NPI
Stacy Lynn Dickhoff, PHARMD
- Pharmacist
- Hillsboro, ND
National Provider Identifier
1265782874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5098
- Practice address
- 13 N Main St
Hillsboro, ND 58045-4202 - Phone
- (701) 636-5231
- Fax
- (701) 636-5947
- NPI assigned
- Sep 12, 2012
- Last updated
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 5098 | ND | Primary |
Addresses
Primary practice location
13 N Main St
Hillsboro, ND 58045-4202
Mailing address
PO Box 820
Hillsboro, ND 58045-0820
Phone (701) 636-5231
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5098 | ND | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsboro Drug & Gift, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1265782874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820",
"city": "HILLSBORO",
"state": "ND",
"postal_code": "580450820",
"telephone_number": "701-636-5231",
"fax_number": "701-636-5947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 N MAIN ST",
"city": "HILLSBORO",
"state": "ND",
"postal_code": "580454202",
"telephone_number": "701-636-5231",
"fax_number": "701-636-5947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKHOFF",
"first_name": "STACY",
"middle_name": "LYNN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ND",
"license": "5098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hillsboro, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.