Derek Dickson, PharmD
Pharmacist in San Tan Valley, AZ. Individual provider (NPI-1).
NPI number1679959449
StatusActive
Last updated in NPPESAug 4, 2015
Details
- NPI
- 1679959449
- Entity type
- Individual (NPI-1)
- Name
- Derek Dickson
- Credential
- PharmD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2015
- Last updated
- Aug 4, 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 | S021309 | AZ | Yes |
Practice location
1725 W Hunt HwySan Tan Valley, AZ 85143-5203
Phone 480-677-2540 · Fax 480-677-2562
Mailing address
1725 W Hunt HwySan Tan Valley, AZ 85143-5203
Phone 480-677-2540 · Fax 480-677-2562
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 16 Pharmacist providers in San Tan Valley · All 797 providers in San Tan Valley
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