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Dr. Andrew Dickerson

Pharmacist in Greenville, NC. Individual provider (NPI-1).

NPI number1255009239
StatusActive
Last updated in NPPESOct 8, 2025

Details

NPI
1255009239
Entity type
Individual (NPI-1)
Name
Dr. Andrew Dickerson
Sex
Male
Sole proprietor
No
Enumeration date
Sep 2, 2021
Certification date
Oct 8, 2025
Last updated
Oct 8, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X Pharmacist69055TXYes

Practice location

2000 Venture Tower Dr
Greenville, NC 27834-2871

Phone 252-847-4311

Mailing address

2000 Venture Tower Dr
Greenville, NC 27834-2871

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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