Active NPI
Candace Dixon Jones, CPP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Crow Agency, MT
National Provider Identifier
1336548742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- PHA-PHA-LIC-81013
- Practice address
- 10110 S 7650TH E
Crow Agency, MT 59022 - Phone
- (919) 749-2916
- NPI assigned
- Aug 21, 2014
- Sex
- Female
- 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 | 24004 | NC | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PHA-PHA-LIC-81013 | MT | Primary |
Addresses
Primary practice location
10110 S 7650TH E
Crow Agency, MT 59022
Mailing address
Medical Center Blvd
Winston Salem, NC 27157-0001
Phone (919) 749-2916
Other names 1
- Candace Michelle Dixon
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24004 | NC | MD | Pharmacist |
| PHA-PHA-LIC-81013 | MT | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1336548742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "919-749-2916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10110 S 7650TH E",
"city": "CROW AGENCY",
"state": "MT",
"postal_code": "59022",
"telephone_number": "919-749-2916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CANDACE",
"middle_name": "DIXON",
"name_prefix": "Dr.",
"credential": "CPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-21",
"last_updated": "2023-08-24",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "24004",
"primary": false
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "MT",
"license": "PHA-PHA-LIC-81013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CANDACE",
"last_name": "DIXON",
"middle_name": "MICHELLE",
"credential": "CPP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Crow Agency, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.