Michael Dimenna, R.PH.
Individual provider Active NPI Pharmacist · Fairview, NC
NPI 1386789451 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1386789451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 8535 (NC)
- Practice address
- 66 Retta Rd
Fairview, NC 28730-8767 - Phone
- (828) 628-3675
- NPI assigned
- Feb 20, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cane Creek Pharmacy Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 8535 | NC | Yes |
Addresses
Primary practice location
66 Retta Rd
Fairview, NC 28730-8767
Mailing address
1555 NC Highway 9
Black Mountain, NC 28711-9685
Other providers in Fairview, NC
- Kelly Marie Cooper
- Covenant Geriatrics PLLC
- Kathleen Rose Crosby
- Russell Clay Curtis
- Hannah Crowe Davis
- Sviatlana M Drevila
- Elderflower Adult Day Center
- Deborah Jane Eldin
- Fairview Chiropractic Center
- Fairview Urgent Care, PLLC
All providers in Fairview, NC · Pharmacist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.