1. Home
  2. Directory
  3. North Carolina
  4. Fayetteville
  5. Pharmacist
  6. NPI Profile

KATIE DIRCKSEN PHARMD
NPI 1104471432
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Fayetteville, NC

Active since August 05, 2019
1638 OWEN DR, FAYETTEVILLE, NC 28304(910) 615-7183 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Katie Dircksen Pharmd NPPES

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

KATIE DIRCKSEN PHARMD (NPI 1104471432) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Fayetteville, North Carolina, licensed in North Carolina (28922) and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1104471432
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameKATIE DIRCKSENCredential: PHARMD
Location Address1638 OWEN DRFayetteville, NC 28304-3424
Mailing Address1638 Owen DrFayetteville, NC 28304-3424
Phone(910) 615-7183
Sole ProprietorNo
Enumeration DateAugust 5, 2019
✔ NPI 1104471432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in NC · 28922
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1638 OWEN DR, Fayetteville, NC 28304
Open in Google Maps ↗

Other Identifiers 1

Other28922NC · Pharmacy License

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER MCPHAIL COAXUM NP
Nurse Practitioner (Family)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5680
CAPE FEAR VALLEY MEDICAL CENTER
Pharmacist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-7968
WENDY LYNN BROCK NNP
Nurse Practitioner
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-5490
ABHISHEK GOEL MD
Hospitalist
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-3960
LAUREN WOHLRAB
Student in an Organized Health Care Education/Training Program
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-5000
JINGCHUAN WANG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-4000
KENNETH RUSSELL MANNING M.D.
Internal Medicine (Medical Oncology)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 609-6910
CUMBERLAND COUNTY HOSPITAL SYSTEM, INC
Surgery (Trauma Surgery)
1638 OWEN DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 615-8000

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 Katie Dircksen's NPI number?

The NPI number for Katie Dircksen is 1104471432. It was assigned to this individual provider in the NPPES registry on August 5, 2019.

Where is Katie Dircksen located?

Katie Dircksen practices at 1638 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 615-7183.

What is Katie Dircksen's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Katie Dircksen was last updated on August 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.