Active NPI
John Dickson
- Pharmacist
- Eugene, OR
National Provider Identifier
1790057685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0006478
- Practice address
- 220 S Seneca Rd
Eugene, OR 97402-2725 - Phone
- (541) 868-1762
- Fax
- (541) 345-0264
- NPI assigned
- Feb 7, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0006478 | OR | Primary |
| Pharmacist | 183500000X | PH 00016134 | WA |
Addresses
Primary practice location
220 S Seneca Rd
Eugene, OR 97402-2725
Mailing address
PO Box 2310
Eugene, OR 97402-0199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH-0006478 | Other | OR | OREGON BOARD OF PHARMACY |
| PH 00016134 | Other | WA | WASHINGTON STATE DEPARTMENT OF HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0006478 | OR | MD | Pharmacist |
| PH 00016134 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329350400000",
"number": "1790057685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2310",
"city": "EUGENE",
"state": "OR",
"postal_code": "974020199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 S SENECA RD",
"city": "EUGENE",
"state": "OR",
"postal_code": "974022725",
"telephone_number": "541-868-1762",
"fax_number": "541-345-0264"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-07",
"last_updated": "2012-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0006478",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH 00016134",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OREGON BOARD OF PHARMACY",
"identifier": "RPH-0006478",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
"identifier": "PH 00016134",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.