Active NPI
Madison Elaine Dibble, RPH
- Pharmacist
- Corpus Christi, TX
National Provider Identifier
1720759053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 69547
- Practice address
- 11100 Leopard St
Corpus Christi, TX 78410-2612 - Phone
- (361) 241-0378
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 69547 | TX | Primary |
Addresses
Primary practice location
11100 Leopard St
Corpus Christi, TX 78410-2612
Mailing address
2657 Camargo Dr
Corpus Christi, TX 78415-5678
Phone (361) 249-3356
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 69547 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632700800000",
"number": "1720759053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2657 CAMARGO DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784155678",
"telephone_number": "361-249-3356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 LEOPARD ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784102612",
"telephone_number": "361-241-0378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIBBLE",
"first_name": "MADISON",
"middle_name": "ELAINE",
"name_prefix": "Dr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2021-09-27",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "69547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.