Dixons Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP413430L Issued in PA

Legal business name

DIXONS PHARMACY INC

Practice address

1 Sprint Dr
Carlisle, PA 17015-7696

Phone

(717) 249-5691

Fax

(717) 249-6599

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Bryan Gobin, RPH

Title

Treasurer

Phone

(717) 486-8606

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• QUALITY CARE PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Dixons Pharmacy Inc

  • Community/Retail Pharmacy
  • Biglerville, PA
  • NPI 1740388776

  8628199304

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Dixons Pharmacy Inc

  • Community/Retail Pharmacy
  • Biglerville, PA
  • NPI 1740388776

  O20251110003506

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Adams Cumberland Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dixons Pharmacy Inc

  • Community/Retail Pharmacy
  • Biglerville, PA
  • NPI 1740388776
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clement J. Boncal, R.PH.

  • Pharmacist
  • Carlisle, PA
  • NPI 1588251490
  NPD
• Ilana Portman

  • Pharmacist
  • Harrisburg, PA
  • NPI 1043914955
  NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1902903834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SPRINT DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157696",
            "telephone_number": "717-249-5691",
            "fax_number": "717-249-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SPRINT DR",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170157696",
            "telephone_number": "717-249-5691",
            "fax_number": "717-249-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIXONS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-11-29",
        "status": "A",
        "authorized_official_last_name": "GOBIN",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "717-486-8606",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP413430L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007293690003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2084187",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY CARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Borka Dickerson
• Paul Bryant Dickerson, PHD
• Dickinson College Health Center
• Caroline M Diller, D.C.
• David Thomas Dils, DC
• Christine Dobrowolski, DO
• Kendra L Dolan, M.D.
• Donald Joseph Domenici, PHD
• Valerie Ann Domenici, PH.D.
• Stephanie Elaine Donald, MA, BS, BCBA, LBS

• Community/Retail Pharmacy in Carlisle, PA
• Providers in Carlisle, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.