Kimberly Dickerson

Primary specialty

PharmacistTaxonomy code 183500000X

License

8002 Issued in SC

Practice address

922 Highway 28 by-Pass
Anderson, SC 29625

Phone

(864) 224-7469

Fax

(864) 716-0406

NPI assigned

Oct 10, 2013

Last updated

Oct 10, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1295162048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 28 BY-PASS",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29625",
            "telephone_number": "864-224-7469",
            "fax_number": "864-716-0406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 HIGHWAY 28 BY-PASS",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "29625",
            "telephone_number": "864-224-7469",
            "fax_number": "864-716-0406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKERSON",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "8002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Deyoung
• Clara Ann Diacsuk
• Diagnostic Radiology of Anderson, P.a.
• Alisia Emily Dial
• Harry R Diamant, A.C.S.W
• Brantley Dickinson
• Christian Alexendria Dicks, APRN
• Jennifer M Dickson
• Kelly Michelle Dickson, RRT
• Liza McCurley Dickson

• Pharmacist in Anderson, SC
• Providers in Anderson, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.