Amanda Marie Dickson, PHARM.D.
Individual provider Active NPI Pharmacist · Bellaire, OH
NPI 1407383045 · NPPES record last updated Sep 23, 2021
Key facts
- NPI
- 1407383045
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RP0007963 (WV)
- Practice address
- 400 28TH St
Bellaire, OH 43906-1790 - Phone
- (740) 671-5169
- NPI assigned
- May 14, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03132411 | OH | MD | Pharmacist |
| RP0007963 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past |
Accepting new patients | |
| The Kroger Co | Past |
Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03132411 | OH | |
| Pharmacist | 183500000X | RP0007963 | WV | Yes |
Addresses
Primary practice location
400 28TH St
Bellaire, OH 43906-1790
Mailing address
28 Carlisle Rd
Claysville, PA 15323-1352
Phone (304) 376-4483
Other practice location 1
1211 Warwood Ave
Wheeling, WV 26003-7129
Phone (304) 277-3373
Other providers in Bellaire, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2021. 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.