Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Dickerson

Individual provider Pharmacist · NPI 1710568837

Matthew Dickerson is a Pharmacist in Portland, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021

Practice location Address checks out

104 TN-52 W
Portland, TN 37148
Phone: (615) 325-4058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 42646 (TN)

Record details

NPI number1710568837
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 20, 2021
Last updated in NPPESApril 20, 2021
Certification dateMarch 25, 2021
Mailing address1401 3rd Ave N Apt 101, Nashville, TN 37208-3269

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