Active NPI
Latoya Dickens, PHARM D
- Pharmacist
- Smyrna, GA
National Provider Identifier
1942509120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 21565
- Practice address
- 4371 S Cobb Dr SE
Smyrna, GA 30080-6330 - Phone
- (305) 761-1137
- NPI assigned
- Mar 27, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 21565 | NC | Primary |
Addresses
Primary practice location
4371 S Cobb Dr SE
Smyrna, GA 30080-6330
Mailing address
9407 Rosewood Meadow LN
Huntersville, NC 28078-3338
Phone (305) 761-1137
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 |
|---|---|---|---|
| 21565 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671580800000",
"number": "1942509120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9407 ROSEWOOD MEADOW LN",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280783338",
"telephone_number": "305-761-1137"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4371 S COBB DR SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806330",
"telephone_number": "305-761-1137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENS",
"first_name": "LATOYA",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-27",
"last_updated": "2022-12-21",
"certification_date": "2022-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "21565",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.