Christopher Matthew Dibble, PHARM D

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

011146 Issued in SC

Practice address

3013 Allison Cove Dr
Charleston, SC 29412-4971

Phone

(843) 367-3475

NPI assigned

May 9, 2008

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210291200000",
    "number": "1457528408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3013 ALLISON COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124971",
            "telephone_number": "843-367-3475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3013 ALLISON COVE DR",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294124971",
            "telephone_number": "843-367-3475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIBBLE",
        "first_name": "CHRISTOPHER",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "SC",
            "license": "011146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janielly Spagola Dias
• Fabiana Carola del Carmen Diaz Churion, MD
• Ana Diaz-Lepage, PHD
• Maria Jennifer Francis Diaz, C.R.N.P.
• Vanessa A Diaz, MD
• Alex Dibona, M.D.
• Dee Ellen Dibona, MD
• Sydney Dibona
• Julia Kristina Dibos, BCBA
• Linda A. Dicamillo, AUD, CCC-A

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Charleston, SC
• Providers in Charleston, SC by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.