Individual provider · Type 1 NPI

James G. Dickerson Sr.

Pharmacist · Omaha, NE

NPI number 1073508289 Active

Practice location

601 N 30th St, Suite 2807
Omaha, NE 68131-2137

Call (402) 449-4560 Map

Fax (402) 449-4531

Mailing address

15001 S Highway 31
Gretna, NE 68028-6312

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X7632 (NE)
Pharmacist 183500000X12903 (IA)

Pharmacist: 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…

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About NPI 1073508289

James G. Dickerson Sr.'s National Provider Identifier is 1073508289, issued on Sep 14, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Omaha, NE. The record was last updated on Jul 13, 2026.