Individual provider Active NPI

Maronda Dixon, PHARM D

  • Pharmacist
  • Ridgeland, MS
National Provider Identifier
1841885910
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-09511 Issued in MS
Practice address
100 Business Park Dr Ste D
Ridgeland, MS 39157-6015
Phone
(601) 956-6228
NPI assigned
Mar 1, 2021
Last updated
Mar 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-09511 MS Primary

Addresses

Primary practice location

100 Business Park Dr Ste D
Ridgeland, MS 39157-6015

Mailing address

2000 Pinehaven Dr
Flowood, MS 39232-8349
Phone (601) 209-9932

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Maronda.Dixon@omnicare.com Other

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
E-09511MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Compscript, LLC PastSince Mar 7, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: maronda.dixon@omnicare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1841885910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PINEHAVEN DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328349",
            "telephone_number": "601-209-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUSINESS PARK DR STE D",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391576015",
            "telephone_number": "601-956-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "MARONDA",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-09511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Maronda.Dixon@omnicare.com",
            "affiliation": "N",
            "endpointDescription": "Email address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Omnicare Pharmacy",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 Business Park Dr Ste D",
            "city": "Ridgeland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391576015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.