Mickey Dyer, PharmD
Pharmacist in Castle Rock, CO. Individual provider (NPI-1).
NPI number1548636624
StatusActive
Last updated in NPPESAug 12, 2015
Details
- NPI
- 1548636624
- Entity type
- Individual (NPI-1)
- Name
- Mickey Dyer
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 12, 2015
- Last updated
- Aug 12, 2015
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 code | Description | License | State | Primary |
|---|---|---|---|---|
| 183500000X | Pharmacist | 18671 | CO | Yes |
| 183500000X | Pharmacist | 14242 | OK |
Practice location
4648 Heartwood WayCastle Rock, CO 80109-4509
Phone 580-302-3563
Mailing address
4648 Heartwood WayCastle Rock, CO 80109-4509
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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All 47 Pharmacist providers in Castle Rock · All 1,947 providers in Castle Rock
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