ROBERT LEE HICKERSON (NPI# 1205100609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205100609 |
| Entity Type | Individual |
| Full Name | ROBERT LEE HICKERSON |
| Credential | R.PH. |
| Practice Address |
2120 Boiling Springs Rd Ingles Pharmacy Spartanburg SC 29316-5301 |
| Practice Telephone | 8645990668 |
| Mailing Telephone | 8645990668 |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-03-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 9045 | NC | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 8680 | SC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104916485 | Robert Hickerson | Family Medicine | 3375 N Seminary St, Galesburg, IL 61401-1251 | 2006-10-15 |
| Street Address |
2120 BOILING SPRINGS RD INGLES PHARMACY |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29316-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457625428 | Ingles Markets Inc | Pharmacy | 2120 Boiling Springs Rd, Spartanburg, SC 29316-5301 | 2012-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891254579 | Boiling Springs First Baptist Church Counseling Service | Marriage & Family Therapist | 3600 Boiling Springs Rd, Boiling Springs, SC 29316 | 2019-03-13 |
| 1942675566 | Anitra Williams Mims | Social Worker | 186 John Dodd Rd, Boiling Springs, SC 29316 | 2015-12-08 |
| 1407222532 | Felisha Booker | Nurse Practitioner | 1214 Turning Leaf Cir, Boiling Springs, SC 29316 | 2015-08-12 |
| 1699157669 | Zarmina Hussain | Dentist | 1860 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-06-25 |
| 1700272424 | Family Builders Counseling Services | Community/Behavioral Health | 1965 Old Furnace Rd, Boiling Springs, SC 29316 | 2015-04-09 |
| 1538504311 | District 2 Schools Spartanburg County | Registered Nurse | 4606 Parris Brigde Rd, Boiling Springs, SC 29316 | 2013-05-07 |
| 1639441769 | Daniel Earl Kimbrell | Physical Therapy Assistant | 395 Castleton Cir, Boiling Springs, SC 29316 | 2012-02-06 |
| 1427283084 | Bernard Walvin Kaseman | Chiropractor | 1523 Boiling Springs Rd, Boiling Springs, SC 29316 | 2009-05-26 |
| 1730320482 | Elliott Michael Keller | Optometrist | 8674 Asheville Highway, Boiling Springs, SC 29316 | 2009-03-10 |
| 1003063447 | Marion Virginia Brannon | Chiropractor | 2137 Boiling Springs Rd., Boiling Springs, SC 29316 | 2008-08-27 |
| Find all providers in zip 29316 | ||||
| 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 |
|---|---|---|---|---|
| 1487154480 | Adele Penland Boyce | Pharmacist | 104 Emory Rd, Spartanburg, SC 29307-2905 | 2018-02-15 |
| 1790137784 | Jessica Lee Ho | Pharmacist | 215 Bent Oak Way, Spartanburg, SC 29301-1201 | 2016-07-01 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1184969867 | Thomas Allen Keith Jr. | Pharmacist | 1908 East Main Street, Spartanburg, SC 29307-2308 | 2012-12-06 |
| 1861746091 | James Richard Cantrell | Pharmacist | 150 Hawk Creek Dr, Spartanburg, SC 29301-1214 | 2012-11-09 |
| 1598015869 | Manish Rajkumar Chomal | Pharmacist | 2660 Reidville Rd Ste 8, Spartanburg, SC 29301-3512 | 2012-09-14 |
| 1225388531 | David Clark | Pharmacist | 87 Garner Rd., Cvs 4174, Spartanburg, SC 29303 | 2012-09-13 |
| 1174873616 | Myra Turner Lawson | Pharmacist | 87 Garner Road, Spartanburg, SC 29303 | 2012-09-12 |
| 1639427438 | James Calvin Pugh Jr. | Pharmacist | 2397 Reidville Rd, Spartanburg, SC 29301-3651 | 2012-08-27 |
| 1609123439 | Payal Thadani | Pharmacist | 2401 Reidville Rd, Spartanburg, SC 29301-3654 | 2012-08-10 |
| Find all providers in SPARTANBURG | ||||
| City | SPARTANBURG |
| Zip Code | 29316 |
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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.