Active NPI
Edward Francis Dix, PHARMD
- Pharmacist
- Mullica Hill, NJ
National Provider Identifier
1326354945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28RI2962400
- Practice address
- 700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413 - Phone
- (856) 508-2126
- NPI assigned
- Aug 19, 2010
- Last updated
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 | 183500000X | A1-0003489 | DE | |
| Pharmacist | 183500000X | 28RI2962400 | NJ | Primary |
Addresses
Primary practice location
700 Mullica Hill Rd
Mullica Hill, NJ 08062-4413
Mailing address
41 Lady Diana Cir
Marlton, NJ 08053-3712
Phone (856) 797-2237
Other practice location 1
509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100 ext. 42880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28RI2962400 | Other | NJ | PHARMACIST LISCENSE |
| A1-0003489 | Other | DE | PHARMACIST LISCENSE |
| 28RJ06403 | Other | NJ | PHARMACIST IMMUNIZATION PROVIDER |
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 |
|---|---|---|---|
| A1-0003489 | DE | MD | Pharmacist |
| 28RI2962400 | NJ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1326354945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 LADY DIANA CIR",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080533712",
"telephone_number": "856-797-2237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 MULLICA HILL RD",
"city": "MULLICA HILL",
"state": "NJ",
"postal_code": "080624413",
"telephone_number": "856-508-2126"
}
],
"practiceLocations": [
{
"address_1": "509 N Broad St",
"address_purpose": "LOCATION",
"city": "Woodbury",
"state": "NJ",
"postal_code": "080961617",
"country_code": "US",
"telephone_number": "856-845-0100 x42880",
"fax_number": "856-686-5030",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DIX",
"first_name": "EDWARD",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-08-19",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "DE",
"license": "A1-0003489",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI2962400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LISCENSE",
"identifier": "28RI2962400",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LISCENSE",
"identifier": "A1-0003489",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST IMMUNIZATION PROVIDER",
"identifier": "28RJ06403",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mullica Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.