Address: 104 Tn-52 W, Portland, TN 37148

MATTHEW DICKERSON (NPI# 1710568837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710568837
Entity Type Individual
Gender Male
Practice Address 104 Tn-52 W
TN 37148
Practice Telephone 6153254058
Mailing Address 1401 3rd Ave N Apt 101
TN 37208-3269
Mailing Telephone 7707780909
Certification Date 2021-03-25
Enumeration Date 2021-04-20
Last Update Date 2021-04-20
Is Sole Proprietor Y


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 183500000X Pharmacist 42646 TN Pharmacy Service Providers

Associated Endpoints

Endpoint Type Endpoint Affiliation Affiliation Address Use Content
Direct Messaging Address 104 Tn-52 W, Portland, TN 37148

Office Location

Street Address 104 TN-52 W
State TN
Zip Code 37148

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1003090036 State of Tennessee · Sumner County Portland Clinic Public Health or Welfare 214 West Longview Drive, Portland, TN 37148 2007-12-27
1225200306 Lisa Nazarenus Nurse Practitioner 307 S Broadway, Portland, TN 37148 2008-03-28
1841416005 Wayne Benjamin Long Dentist - General Practice 100 Main St, Suite 105, Portland, TN 37148-1241 2007-04-17
1770523748 Jason A Bruns Physical Therapist 121 Village Dr, 103, Portland, TN 37148 2006-06-07
1952300790 Stacey Drott Vance Family Medicine 120 Main St, Portland, TN 37148-1218 2005-07-14
1518156926 Family and Childrens Clinic of Macon County Internal Medicine 105 E Market St, Portland, TN 37148-1228 2007-10-22
1568494243 Melissa R Cook Nurse Practitioner - Family 932-B South Broadway, Portland, TN 37148 2006-07-06
1770676124 Pharmacy Express of Portland Inc Pharmacy 105 N Broadway, Portland, TN 37148-1113 2006-09-30
1841350196 Edward Freeman Kirkpatrick Jr. Dentist 307 Reed St, Portland, TN 37148-0410 2006-12-09
1952355372 Main Street Family Practice Inc Specialist 120 Main St, Portland, TN 37148-1218 2006-05-20
Find all in zip 37148

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023697919 Katie Johnstone Pharmacist 19 Idaho St, Portland, ME 04103-3817 2021-04-07
1144814625 Sandeep Kumar Sablok Pharmacist 8145 Sw Barbur Blvd, Portland, OR 97219-2849 2021-02-24
1114518560 Nhung Do Pharmacist 538 Sw 4th Ave, Portland, OR 97204-2102 2021-01-28
1760072300 Jane Martin Dunne Pharmacist 52 Dibiase St, Portland, ME 04103-1119 2021-01-18
1740879485 George Nakayama Pharmacist 5200 Sw Barnes Rd, Portland, OR 97221-1522 2021-01-17
1104415686 Phuong Tuyet Thai Pharmacist 7070 Ne Sandy Blvd, Portland, OR 97213-5278 2021-01-11
1548858442 Cady Mathews Pharmacist 24 Nw Lost Springs Terr #36, Portland, OR 97229 2021-01-06
1760070148 Donnald C Raymond Pharmacist 7720 S Macadam Ave Apt 34, Portland, OR 97219-3057 2021-01-01
1457947251 Rachel Cimato Pharmacist 1406 Congress St, Portland, ME 04102-2119 2020-12-15
1992301147 Yelena Romani Pharmacist 99 State St Unit 3, Portland, ME 04101-3758 2020-12-11
Find all providers in PORTLAND


Search similar providers

Zip Code 37148

Providers with similar names

NPI Name Taxonomy Address Enumeration
1952353534 Windel Dickerson Psychologist 202 Hoxie, Coupland, TX 78615 2006-05-16
1073103834 Gretchen Dickerson Social Worker - Clinical 6400 Shelby View Dr Ste 1010, Memphis, TN 38134-7659 2021-01-25
1063002145 Chenoa Dickerson Nurse Practitioner - Family 1504 N Thornton Ave Ste 103, Dalton, GA 30720-8394 2021-01-22
1871175521 Adriene Dickerson Registered Nurse 807 Johnson St, Monterey, CA 93940-2237 2021-04-22
1801478706 Michele L Dickerson Nurse Practitioner - Family 15080 Renaissance Ave, Odessa, FL 33556-4387 2021-04-21
1184212599 Ayanna Dickerson Massage Therapist 4840 A St, Philadelphia, PA 19120-3941 2021-01-02
1255928701 Kayla Dickerson Counselor - Mental Health 100 Ridgeway St Ste 5, Hot Springs, AR 71901-7156 2020-12-30
1992391569 Rashida Dickerson Technician - Personal Care Attendant 707 Oakwood Dr, Beckley, WV 25801 2020-12-17
1134725534 Lamara Dickerson Social Worker - Clinical 2653 Locust St, Saint Louis, MO 63103-1411 2020-12-10
1871195982 Marvin Leon Dickerson Homemaker 4031 Colby Ave, Columbus, OH 43227-2051 2020-11-12

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.