Garrett Oreste Dixon, PHARMD
Individual provider Active NPI Pharmacist · Manistee, MI
NPI 1578282695 · NPPES record last updated Aug 1, 2023
Key facts
- NPI
- 1578282695
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 5302414613 (MI)
- Practice address
- 2608 Government Center Dr
Manistee, MI 49660-8302 - Phone
- (231) 398-6853
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 5302414613 | MI | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302414613 | MI | Yes |
Addresses
Primary practice location
2608 Government Center Dr
Manistee, MI 49660-8302
Mailing address
2608 Government Center Dr
Manistee, MI 49660-8302
Phone (231) 398-6853
Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 1, 2023. 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.