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MR. ELLERY RYDER DIXON STUDENT PHARMACIST
NPI 1023467354
Student in an Organized Health Care Education/Training Program in Milton, WA

Active since June 07, 2016
2425 DIAMOND ST, MILTON, WA 98354(253) 922-6242 Get Directions Write a Review

NPPES record last updated: June 7, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Ellery Ryder Dixon Student Pharmacist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ELLERY RYDER DIXON STUDENT PHARMACIST (NPI 1023467354) is an individual student in an organized health care education/training program in Milton, Washington, licensed in Washington (IR 60121008) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1023467354
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. ELLERY RYDER DIXONCredential: STUDENT PHARMACIST
Location Address2425 DIAMOND STMilton, WA 98354-9310
Mailing Address2425 Diamond StMilton, WA 98354-9310 · (253) 922-6242
Phone(253) 922-6242
Sole ProprietorNo
Enumeration DateJune 7, 2016
✔ NPI 1023467354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in WA · IR 60121008
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2425 DIAMOND ST, Milton, WA 98354
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ellery Dixon's NPI number?

The NPI number for Ellery Dixon is 1023467354. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Ellery Dixon located?

Ellery Dixon practices at 2425 Diamond St, Milton, WA 98354. The listed phone number is (253) 922-6242.

What is Ellery Dixon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Ellery Dixon was last updated on June 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.