Individual provider Active NPI

Kerrie Dawkins, PHARMD

  • Pharmacy
  • Canton, OH
National Provider Identifier
1699406488
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
06015839 Issued in OH
Practice address
114 12TH St NE
Canton, OH 44704-1024
Phone
(330) 456-4791
NPI assigned
Jun 22, 2022
Last updated
Jun 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 06015839 OH Primary

Addresses

Primary practice location

114 12TH St NE
Canton, OH 44704-1024

Mailing address

1902 4TH St SE
Canton, OH 44707-3024
Phone (330) 906-4640

Other names 1

  • Dr. Kerrie Dawkins Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL kerrie.C.dawkins@riteaid.com

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
06015839OHMDPharmacy

NPI Registry JSON

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1699406488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 4TH ST SE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447073024",
            "telephone_number": "330-906-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 12TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447041024",
            "telephone_number": "330-456-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWKINS",
        "first_name": "KERRIE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "06015839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kerrie.C.dawkins@riteaid.com",
            "affiliation": "N",
            "endpointDescription": "Pharmacy",
            "address_1": "114 12th St NE",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447041024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KERRIE",
            "last_name": "DAWKINS",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.