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Sandy Renee Dickens , RPH

Pharmacist β€’ Jackson, MS

Active NPI 1083767933 Individual Practitioner Female Practitioner
Practice location in NPPES

3156 Lawson St
Jackson, MS 392135754

Call 6017133457 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3156 Lawson St

Jackson, MS 392135754

Telephone 6017133457
Fax 6013642670
Organization at the Same NPPES Address or Phone
Ms State Dept Of Health Facility NPI 1952525842

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Canton, MS. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jackson and Mississippi

215 active clinicians are listed under Pharmacist with a practice address in Jackson, MS (2,238 in Mississippi).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jackson

0% of these 215 clinicians have the CMS telehealth indicator.

0% of these 215 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

License # reported to NPPES MS T09031

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Mississippi State Medical Licensing Board.
Look Up on State Board Site

Secondary Practice Locations

300 Nissan Dr

Canton, MS 390468562

Phone: 6018558600

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Madison Stuckey

Nurse Practitioner

NPI 1801664222

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active August 07, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location August 07, 2017

Registered at 3156 LAWSON ST, JACKSON, MS 392135754 (Tel: 6017133457)

πŸ“
Updated Business Mailing Address August 07, 2017

Registered at 180 DEERWOOD XING, CANTON, MS 390465352 (Tel: (601) 859-5333)

πŸ‘€
Provider Name / Credentials Updated August 07, 2017

Recorded as SANDY DICKENS, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2017

Pharmacist (license number reported to NPPES: MS T09031)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 300 NISSAN DR, CANTON, MS 390468562 (Tel: 6018558600)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 180 DEERWOOD XING, CANTON, MS 390465352 (Tel: 6018595333)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as SANDY DICKENS, RPH

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (license number reported to NPPES: MS T09031)

🟒
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1083767933
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 21, 2022
Sole Proprietor: Yes

Other Pharmacists in Jackson

Healthcare providers in Jackson

Mailing Address

180 Deerwood Xing

Canton, MS 390465352

Phone: 6018595333

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.