Active NPI
Robert Joseph Dicken, RPH
- Pharmacist
- Greensboro, NC
National Provider Identifier
1275808834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 14765
- Practice address
- 3001 E Market St
Greensboro, NC 27405-7525 - Phone
- (336) 275-7657
- Fax
- (336) 273-2651
- NPI assigned
- Mar 15, 2012
- Last updated
- Mar 15, 2012
- Sex
- Male
- 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 | 14765 | NC | Primary |
Addresses
Primary practice location
3001 E Market St
Greensboro, NC 27405-7525
Mailing address
3001 E Market St
Greensboro, NC 27405-7525
Phone (336) 275-7657
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14765 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331769600000",
"number": "1275808834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 E MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057525",
"telephone_number": "336-275-7657",
"fax_number": "336-273-2651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 E MARKET ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274057525",
"telephone_number": "336-275-7657",
"fax_number": "336-273-2651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEN",
"first_name": "ROBERT",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-15",
"last_updated": "2012-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "14765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 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.