Active NPI
Ricki Dixon
- Pharmacist
- Sunrise, FL
National Provider Identifier
1376374298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 67464
- Practice address
- 11100 W Oakland Park Blvd
Sunrise, FL 33351-6808 - Phone
- (954) 749-1848
- NPI assigned
- Aug 12, 2024
- Last updated
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 67464 | FL | Primary |
Addresses
Primary practice location
11100 W Oakland Park Blvd
Sunrise, FL 33351-6808
Mailing address
8600 NW 34TH PL # Plb108
Sunrise, FL 33351-6650
Phone (678) 674-6726
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 |
|---|---|---|---|
| 67464 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS LLC | Past | Accepting new patients | |
| Holiday CVS L.L.C. | 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": "1723420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1376374298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8600 NW 34TH PL # PLB108",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516650",
"telephone_number": "678-674-6726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 W OAKLAND PARK BLVD",
"city": "SUNRISE",
"state": "FL",
"postal_code": "333516808",
"telephone_number": "954-749-1848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIXON",
"first_name": "RICKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-12",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "67464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sunrise, FL
- Dulce Pescasio Dino
- Direct Diabetic Source Inc.
- Directional Educational Center LLC
- Discovery Clinical Research, Inc.
- Ezequiel Dishmey
- DLC Dental Inc (Broward Family Dental Care)
- Hai Quang Doan, PHARM.D
- Doctor United Group Inc (Doctors United Group, Inc.)
- Doctor's Medical Associates LLC
- Doctor's Orders
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.