Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1629628342 Individual Practitioner Male Practitioner

Dr. Kyle Thomas Dickens , RPH, PharmD, MHA

Pharmacist • Lebanon, OR

Professional Overview & Biography Verified Profile Summary

Dr. Kyle Dickens, RPH, PharmD, MHA is a registered healthcare professional specializing in Pharmacist in Lebanon, OR. Practice services are available at 30 E OAK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

30 E Oak St

Lebanon, OR 973553222

Telephone 5414518020
Fax 5414518027
Associated Practice Facility / Clinic
🏢 Rite Aid Pharmacy Facility NPI 1215227178

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Lebanon, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
19 Specialists

Practicing in Lebanon, OR (3654 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-11-29
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR RPH-0017457

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Oregon Board Of Pharmacy
RPH-0017457 (OR)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1154058964

Doctor of Pharmacy (Pharm.D.)

Ruger Blanshan , CPHT

Pharmacy Technician

NPI 1578254835

Certified Pharmacy Technician

NPI 1609244920

Doctor of Pharmacy (Pharm.D.)

Dr. Aleksandar Todorovic , RPH, PhD

Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

NPI 1891101184

Registered Pharmacist, Doctor of Philosophy (Ph.D.)

NPI 1932487261

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location November 29, 2021

Registered at 30 E OAK ST, LEBANON, OR 973553222 (Tel: 5414518020)

📍
Updated Business Mailing Address November 29, 2021

Registered at 582 CASTING ST SE, ALBANY, OR 973224911 (Tel: 2095818138)

NPI Profile Active September 14, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2019

Registered at 2130 MARCOLA RD, SPRINGFIELD, OR 974772592 (Tel: 5417473362)

📍
Updated Business Mailing Address September 14, 2019

Registered at 907 HOWARD AVE, EUGENE, OR 974043569 (Tel: 2095818138)

👤
Provider Name / Credentials Updated September 14, 2019

Recorded as KYLE DICKENS, RPH,PHARMD,MHA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2019

Pharmacist (License #RPH-0017457 in OR)

🟢
Initial NPI Registration & Enumeration September 14, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1629628342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2019
Last Update: November 29, 2021
Sole Proprietor: No

Mailing Address

582 Casting St Se

Albany, OR 973224911

Phone: 2095818138

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.