DR. KIMBERLY MCLEAN HICKS (NPI# 1093069189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093069189 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY MCLEAN HICKS |
| Credential | PHARM.D |
| Practice Address |
376 S North Lake Blvd Suite 1008 Altamonte Springs FL 32701-5261 |
| Practice Telephone | 8006286965 |
| Practice Fax Number | 1800269549 |
| Mailing Telephone | 8006286965 |
| Mailing Fax Number | 1800269549 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2012-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
1835P0018X | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061053 | Kimberly Hicks | Licensed Vocational Nurse | 2015 Majestic Pace St # A, Longview, TX 75604-2526 | 2020-04-13 |
| 1487033312 | Kimberly Hicks | Licensed Practical Nurse | 15338 Enchante Dr, Clinton Township, MI 48038-3167 | 2015-05-26 |
| 1255476909 | Kimberly Michelle Hicks | Counselor | 1051 N 16th St Ste B, Murray, KY 42071-8511 | 2007-02-20 |
| 1972661254 | Kimberly Hicks | Internal Medicine | 3317 Elm St, Suite 102, Oakland, CA 94609-3052 | 2006-12-05 |
| 1104479526 | Kimberly Hicks | Speech-Language Pathologist | 6924 W Linebaugh Ave, Tampa, FL 33625-5800 | 2019-07-24 |
| 1376018531 | Kimberly Hicks | Technician | 1745 N Nellis Blvd Ste C, Las Vegas, NV 89115-3673 | 2018-10-03 |
| 1568946895 | Kimberly Hicks | Nurse Practitioner | 315 E Nasa Blvd, Melbourne, FL 32901-1939 | 2018-09-22 |
| 1740726892 | Kimberly Hicks | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2017-01-13 |
| 1780089854 | Kimberly Hicks | Counselor | 1306 11th Ave, Greeley, CO 80631-3835 | 2014-10-30 |
| 1134536956 | Kimberly Lynn Hicks | Nurse Practitioner | 1075 Beecher Xing N, Suite A, Columbus, OH 43230-4572 | 2014-07-14 |
| Street Address |
376 S NORTH LAKE BLVD SUITE 1008 |
| City | ALTAMONTE SPRINGS |
| State | FL |
| Zip Code | 32701-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499102 | Mks Care Services LLC | Clinic/Center | 270 Mira Way, Apt. 207, Altamonte Springs, FL 32701 | 2020-05-19 |
| 1598307993 | Integumentary Physiotherapy Institute, LLC | Physical Therapist | 616 E Altamonte Dr Ste 203, Altamonte Springs, FL 32701 | 2019-10-17 |
| 1922569508 | Adventist Health System- Sunbelt Inc Adventhealth Orlando | Pharmacy | 661 E Altamonte Drive Ste 116, Altamonte Springs, FL 32701 | 2019-03-27 |
| 1720524812 | Paula Paton | Nurse Practitioner | 249 Maitland Avenue, Suite 1000, Altamonte Springs, FL 32701 | 2017-01-12 |
| 1639521800 | Mohamed Samy Elwany | Audiologist | 600 E Altamonte Drive, Suite 1700, Altamonte Springs, FL 32701 | 2016-07-12 |
| 1780061267 | Rogers Massage Therapy Clinic | Point of Service | 1061 East Altamonte Dr, Suite 1019, Altamonte Springs, FL 32701 | 2015-05-04 |
| 1598160145 | New Smile Dentistry of Altamonte Springs, Pa | Dentist | 512 E Altamonte Drive, Altamonte Springs, FL 32701 | 2014-10-24 |
| 1083035802 | Amanda Hirsch | Nurse Practitioner | 150 Cranes Roost Blvd, Suite 1220, Altamonte Springs, FL 32701 | 2013-12-20 |
| 1952731143 | Don M. Preble | Dentist | 499 E. Central Parkway Ste 220, Altamonte Springs, FL 32701 | 2013-11-25 |
| 1366883548 | Jose Rafael Navarro | Dentist | 305 East Altamonte Drive, Suite 1020, Altamonte Springs, FL 32701 | 2013-07-16 |
| Find all providers in zip 32701 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134473226 | Monica G. Morgan | Pharmacist | 376 Northlake Blvd, Suite 1008, Altamonte Springs, FL 32701-5261 | 2012-10-29 |
| 1871891937 | Jill Ann Weinstein | Pharmacist | 393 Maitland Ave, Altamonte Springs, FL 32701-5432 | 2011-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696345 | Cynthia Barbara Guerrero Gentile | Pharmacist | 11231 Macaw Ct, Windermere, FL 34786-5635 | 2020-10-16 |
| 1568069276 | Shannon Lea Wright | Pharmacist | 2021 Camden Loop, Davenport, FL 33837-1796 | 2020-10-06 |
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1497361976 | Ruxandra Ivascu | Pharmacist | 11782 E Dr Martin Luther King Jr Blvd, Seffner, FL 33584-4923 | 2020-09-20 |
| 1306458450 | Usif Darwish | Pharmacist | 3863 Us 301 S, Riverview, FL 33578-3572 | 2020-08-20 |
| 1528685203 | Caren Azurin | Pharmacist | 23965 Us 27, Lake Wales, FL 33859-7812 | 2020-06-29 |
| 1700400314 | Tonisha Simone Robinson Seixas | Pharmacist | 13280 Nw 18th St, Pembroke Pines, FL 33028-2502 | 2020-05-31 |
| 1942820287 | Sirisha Kandepi | Pharmacist | 8217 Miramar Way, Lakewood Ranch, FL 34202-9003 | 2020-04-16 |
| 1891323713 | Ralph Ranie Razon | Pharmacist | 3135 Sr 580 Ste 15, Suite 15, Safety Harbor, FL 34695-3528 | 2020-03-27 |
| 1710518477 | Richard D Moss | Pharmacist | 160 Sw 12 Avenue, Suite 101 D, Deerfield Beach, FL 33442 | 2020-01-31 |
| Find all providers with the same taxonomy | ||||
| City | ALTAMONTE SPRINGS |
| Zip Code | 32701 |
Please comment or provide details below to improve the information on DR. KIMBERLY MCLEAN HICKS.
| 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.