Alvin Clayton Dixon

Primary specialty

PharmacistTaxonomy code 183500000X

License

T-07820 Issued in MS

Practice address

1967 Hospital Dr Ste B
Clarksdale, MS 38614-7203

Phone

(662) 624-5481

NPI assigned

Feb 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• 3 Brothers Pharmacy LLC

  • Community/Retail Pharmacy
  • Clarksdale, MS
  • NPI 1801447214
  NPD Authorized official

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1891252805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 CHERRY ST",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386144121",
            "telephone_number": "662-934-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1967 HOSPITAL DR STE B",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "386147203",
            "telephone_number": "662-624-5481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIXON",
        "first_name": "ALVIN",
        "middle_name": "CLAYTON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "T-07820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Delta Medical Foundation (Warrington Clinic)
• Delta Neurology Clinic, PLLC
• Delta Radiology Associates, PLLC
• Joseph Aaron Dikun, PHARM.D.
• Janet Dillon
• Ellen Dorsey, LC
• Linda Dorsey
• Terry Dorsey, NP
• Alison Doyle, CNM
• Niya Simone Dunlap, BS

• Pharmacist in Clarksdale, MS
• Providers in Clarksdale, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.