MEDICARE: DAVID P. DINGMAN RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	046708	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	046708	OTHER	NY	STATE LISCENCE

General Provider Information

NPI Number	:	1780730697
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID P. DINGMAN RPH

Provider Business Mailing Address
First Line	:	18 CREEKSIDE DR
Second Line	:
City	:	FULTON
State	:	NY
Zip	:	13069-4890
Country	:	US
Telephone Number	:	315-450-2678
Fax Number	:

Provider Business Practice Location Address
First Line	:	464 MAIN ST
Second Line	:
City	:	PHOENIX
State	:	NY
Zip	:	13135-2243
Country	:	US
Telephone Number	:	315-695-4200
Fax Number	:	315-695-6210

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	02/02/2026

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