Active NPI
Dixie Donn Lindholm, PHARM.D.
- Pharmacist
- Kennewick, WA
National Provider Identifier
1831161033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 13066
- Practice address
- 4000 W 27TH Ave
Kennewick, WA 99337-2422 - Phone
- (509) 582-7781
- NPI assigned
- Feb 2, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 13066 | OK | Primary |
| Pharmacist | 183500000X | PH60094518 | WA | |
| Pharmacist | 183500000X | 47066 | TX | |
| Pharmacist | 183500000X | PH2703 | HI |
Addresses
Primary practice location
4000 W 27TH Ave
Kennewick, WA 99337-2422
Mailing address
1811 W 11TH Ave
Kennewick, WA 99337-3304
Phone (808) 388-6622
Other names 1
- Dr. Dixie Donn Bray
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
| License | State | Type | Specialty |
|---|---|---|---|
| PH2703 | HI | MD | Pharmacist |
| 13066 | OK | MD | Pharmacist |
| PH60094518 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Kennewick, WA
- NPI 1376558361
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1831161033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1811 W 11TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993373304",
"telephone_number": "808-388-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 W 27TH AVE",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993372422",
"telephone_number": "509-582-7781"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDHOLM",
"first_name": "DIXIE",
"middle_name": "DONN",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-02",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "13066",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60094518",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "47066",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "HI",
"license": "PH2703",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIXIE",
"last_name": "BRAY",
"middle_name": "DONN",
"prefix": "DR.",
"credential": "PHARM.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.