Active NPI
William Caylor Dixon Jr., RPH
- Pharmacist
- Midland City, AL
National Provider Identifier
1295050151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10084
- Practice address
- 15073 S US Highway 231
Midland City, AL 36350-6305 - Phone
- (334) 983-4191
- Fax
- (334) 983-5178
- NPI assigned
- Apr 5, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 10084 | AL | |
| Pharmacist | 183500000X | 10084 | AL | Primary |
Addresses
Primary practice location
15073 S US Highway 231
Midland City, AL 36350-6305
Mailing address
15073 S US Highway 231
Midland City, AL 36350-6305
Phone (334) 983-4191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002671 | Medicaid | AL |
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 |
|---|---|---|---|
| 10084 | AL | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jacks Enterprises Inc | Current | Accepting new patients |
Locations
15073 S US Highway 231
Midland City, AL 36350
Phone (334) 983-4191
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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Midland City, AL
- NPI 1770644866
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1295050151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15073 S US HIGHWAY 231",
"city": "MIDLAND CITY",
"state": "AL",
"postal_code": "363506305",
"telephone_number": "334-983-4191",
"fax_number": "334-983-5178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15073 S US HIGHWAY 231",
"city": "MIDLAND CITY",
"state": "AL",
"postal_code": "363506305",
"telephone_number": "334-983-4191",
"fax_number": "334-983-5178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "WILLIAM",
"middle_name": "CAYLOR",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-05",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "AL",
"license": "10084",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "10084",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002671",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midland City, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.