Dickerson Investments LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

50006052 Issued in SC

Legal business name

DICKERSON INVESTMENTS LLC

Practice address

3160 North Rd
Orangeburg, SC 29118-2805

Phone

(803) 539-0694

Fax

(803) 539-2914

NPI assigned

Nov 15, 2006

Organization subpart

No

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

Authorized official

Name

David Harold Dickerson, RPH

Title

Owner Pharmacist

Phone

(803) 539-0694

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• MEDICAP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1962574764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3160 NORTH RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 NORTH RD",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182805",
            "telephone_number": "803-539-0694",
            "fax_number": "803-539-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKERSON INVESTMENTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "803-539-0694",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "50006052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760521",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE1908",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "4223498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4223498",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Gurinder Dhanju, M.D.
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• Zarquita Dickson
• Patricia A Disher, BA SOCIO CRIM JUSTIC
• Jordan Dixon, D.O.
• Julian Spencer Dixon III, DMD
• Tymeka Dixon

• Community/Retail Pharmacy in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.