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Revalidation record

The Dickson Apothecary Llc — revalidation due 2026-08-31

past duemay be stale

NPI 1295840239 · DME · PA · Enrollment ID O20100930036613

From the CMS revalidation file for October 2026, published 2026-10-01 · check this NPI in CMS’s own lookup ↗ ·
Revalidation due
2026-08-31
Form to file
855B

Clinics, group practices, and other organizational suppliers file CMS-855B.

CMS published a due date of 2026-08-31 (59 days ago). We cannot tell from the file whether you completed this.

CMS may deactivate billing privileges when a full and accurate application isn't received within 90 days (42 CFR 424.540(a)(3)). Claims are denied while deactivated. Reactivation is effective the day CMS receives your application — it is not retroactive.

What changed, month by month

SnapshotDue date on the CMS file
2026-102026-08-31

Not an official CMS system. Verify before filing.

All PA revalidation dates for October 2026Where this date comes from