ANGELIA DENISE HICKS (NPI# 1073114971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073114971 |
| Entity Type | Individual |
| Full Name | ANGELIA DENISE HICKS |
| Practice Address |
1851 Highway 192 W London KY 40741-3032 |
| Mailing Address |
94 Sulfer Springs Rd London KY 40744-9704 |
| Practice Telephone | 6068783041 |
| Practice Fax Number | 6008773041 |
| Mailing Telephone | 6064013032 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 010271 | KY | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205488509 | Angelia Joyce Hicks | Counselor | 5601 Bridge St Ste 300, Fort Worth, TX 76112-2355 | 2019-07-16 |
| Street Address |
1851 HIGHWAY 192 W |
| City | LONDON |
| State | KY |
| Zip Code | 40741-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366469785 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1851 Highway 192 W, London, KY 40741-3032 | 2006-07-16 |
| 1801978671 | Wal-mart Stores East, Lp | Technician/Technologist | 1851 Highway 192 W, London, KY 40741-3032 | 2006-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1871104364 | Jarrod Lee Napier | Optometrist | 103 Chera Lyn Ln, London, KY 40741 | 2020-08-10 |
| 1295378792 | Rebekah Virginia Elaine Cloud | Nurse Practitioner | 1649 Ky- 192 W, London, KY 40741 | 2019-10-28 |
| 1215416581 | Mary Jean Nolan | Nurse Practitioner | 1649 W. Hwy 192, London, KY 40741 | 2018-08-08 |
| 1558849620 | Pinnacle Treatment Centers Ky-1, LLC | Substance Abuse Rehabilitation Facility | 312 Carrera Drive, London, KY 40741 | 2018-08-01 |
| 1710463435 | Pinnacle Treatment Centers Ky-i, LLC | Substance Abuse Rehabilitation Facility | 300 Carrera Drive, London, KY 40741 | 2018-07-16 |
| 1720591076 | Hillary Clark | Nurse Practitioner | 192 London Shopping Ctr Ste 2, London, KY 40741 | 2017-11-08 |
| 1760901979 | Ariel Siler | Counselor | 454 N. Mcwhorter St., Suite 1, London, KY 40741 | 2017-09-19 |
| 1598287161 | Young Smiles,llc | Clinic/Center | 324 Holly Lane, London, KY 40741 | 2017-07-14 |
| 1952727505 | Renew Recovery, LLC | Substance Abuse Rehabilitation Facility | 2645 N Laurel Rd Ste B, London, KY 40741 | 2014-03-06 |
| Find all providers in zip 40741 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| 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. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841244 | Emily Anne Simmons | Pharmacist | 1851 West Hwy 192, London, KY 40741 | 2020-11-06 |
| 1922576883 | Craig Bowers | Pharmacist | 3690 State Route 187, London, OH 43140-9074 | 2018-11-08 |
| 1346775061 | Kristie G Minner | Pharmacist | 1045 Us Highway 42 Sw, London, OH 43140-9335 | 2017-05-01 |
| 1326409434 | Benjamin Vice | Pharmacist | 1710 Highway 192 W, London, KY 40741-1675 | 2016-03-16 |
| 1659753655 | James Crawford II | Pharmacist | 57 Carolyn Dr Apt 1, London, KY 40741-8872 | 2015-06-25 |
| 1447683065 | Matthew Douglas Dennis | Pharmacist | 1730 Highway 192 W, London, KY 40741-1675 | 2013-08-19 |
| 1902154834 | Emily Brooke Balenovich | Pharmacist | 707 North Laurel Road, London, KY 40741 | 2012-08-27 |
| 1205111358 | Lindsey Collett | Pharmacist | 8031 Mcwhorter Rd, London, KY 40741-8720 | 2011-10-19 |
| 1073818670 | David Allen Fairchild | Pharmacist | 238 Lafayette Street, K Mart Pharmacy 7547, London, OH 43140 | 2011-01-13 |
| 1154644896 | Leonard A Migliore | Pharmacist | 238 Lafayette St, London, OH 43140-9059 | 2010-03-09 |
| Find all providers in LONDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.