Active NPI
David Andrew Dickinson
- Pharmacist
- Whitehall, MI
National Provider Identifier
1346523776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302031304
- Practice address
- 3284 Colby Rd
Whitehall, MI 49461-9637 - Phone
- (231) 893-1361
- Fax
- (231) 894-5905
- NPI assigned
- Sep 22, 2011
- Last updated
- Sep 22, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302031304 | MI | Primary |
Addresses
Primary practice location
3284 Colby Rd
Whitehall, MI 49461-9637
Mailing address
3284 Colby Rd
Whitehall, MI 49461-9637
Phone (231) 893-1361
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 |
|---|---|---|---|
| 5302031304 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1346523776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3284 COLBY RD",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494619637",
"telephone_number": "231-893-1361",
"fax_number": "231-894-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3284 COLBY RD",
"city": "WHITEHALL",
"state": "MI",
"postal_code": "494619637",
"telephone_number": "231-893-1361",
"fax_number": "231-894-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKINSON",
"first_name": "DAVID",
"middle_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-22",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302031304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whitehall, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.