DR. KRYSTAL L HICKS (NPI# 1245581248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245581248 |
| Entity Type | Individual |
| Full Name | DR. KRYSTAL L HICKS |
| Credential | PHARM D |
| Practice Address |
14175 W Indian School Rd Goodyear AZ 85395-8407 |
| Practice Telephone | 6239353531 |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11262 | AZ | Pharmacy Service Providers |
| Street Address |
14175 W INDIAN SCHOOL RD |
| City | GOODYEAR |
| State | AZ |
| Zip Code | 85395-8407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437188489 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2006-07-02 |
| 1740880376 | Gina Danielle Horton | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2020-11-01 |
| 1508402124 | Momentum Physical Therapy, Pllc | Physical Therapist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2019-11-19 |
| 1497267975 | Julie Marie Acosta | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2017-10-24 |
| 1891237707 | Judy Dang | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2016-11-09 |
| 1700328762 | Matthew Keller | Optometrist | 14175 W Indian School Rd, Suite B9, Goodyear, AZ 85395-8407 | 2016-11-08 |
| 1487020905 | Ashlie Kucera | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2015-08-19 |
| 1093050791 | Eshani Udayanthi O'daniel | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2012-12-06 |
| 1699051078 | Josephine C. Ferretti | Pharmacist | 14175 W Indian School Rd, Goodyear, AZ 85395-8407 | 2011-10-29 |
| 1053560110 | Super Cool Kids Therapy, LLC | Clinic/Center | 14175 W Indian School Rd, Suite B4-521, Goodyear, AZ 85395-8407 | 2008-09-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154962439 | Amber Dawn Gutierrez | Registered Nurse | 15430 W. Turney Avenue, Goodyear, AZ 85395 | 2019-10-08 |
| 1851947865 | Az Care Partners Home Care, LLC | Chore Provider | 14122 W. Mcdowell Rd., Suite 102a, Goodyear, AZ 85395 | 2019-08-15 |
| 1407334329 | Hana M Eichele | Occupational Therapist | 13385 W Mcdowell Road, Goodyear, AZ 85395 | 2018-08-02 |
| 1639662406 | Kristen Henderson | Occupational Therapist | 14577 W Indian School Road, Goodyear, AZ 85395 | 2018-06-07 |
| 1114419389 | Eric Seabaugh | Specialist/Technologist | 13385 W. Mcdowell Rd., Goodyear, AZ 85395 | 2018-06-04 |
| 1912497504 | Goodyear Modern Dentistry, LLP | Dentist | 15260 West Mcdowell Rd, Goodyear, AZ 85395 | 2018-05-18 |
| 1225531551 | Erik Jason Martinez | Registered Nurse | 4565 N 153rd Ln, Goodyear, AZ 85395 | 2018-03-13 |
| 1538677042 | Kacie Bartlett | Speech-Language Pathologist | 14557 W Mcdowel Rd, Suiet 500, Goodyear, AZ 85395 | 2018-01-18 |
| 1942717277 | Deeann Guymon | Specialist/Technologist | 13385 W. Mcdowell Road, Goodyear, AZ 85395 | 2018-01-09 |
| 1023520228 | Kathy Lynn Gorchesky | Registered Nurse | 15430 West Turney Avenue, Goodyear, AZ 85395 | 2017-10-27 |
| Find all providers in zip 85395 | ||||
| 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 |
|---|---|---|---|---|
| 1083103154 | Cody Lee Hattenberger | Pharmacist | 15835 W Supai Dr, Goodyear, AZ 85338-3301 | 2018-05-04 |
| 1124561642 | Cynthia Vlosic | Pharmacist | 15428 W Verde Ln, Goodyear, AZ 85395-8630 | 2016-12-01 |
| 1588056972 | Amber Gleason | Pharmacist | 16380 W. Yuma Rd, Goodyear, AZ 85326 | 2015-02-23 |
| 1396158994 | Richard Glisson | Pharmacist | 2840 North Dysart Road, Goodyear, AZ 85335 | 2014-06-11 |
| 1598176299 | William Patrick Brophy | Pharmacist | 13352 W Alvarado Dr, Goodyear, AZ 85395-3126 | 2014-05-15 |
| 1427476282 | Timothy Schubel | Pharmacist | 4240 N 161st Ave, Goodyear, AZ 85395-6437 | 2014-03-30 |
| 1932409208 | Chung Counihan | Pharmacist | 9890 S Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1053611327 | Traven Anderson | Pharmacist | 9890 South Estrella Parkway, Goodyear, AZ 85338 | 2010-11-02 |
| 1831499821 | Gary John Greco | Pharmacist | 16002 W Papago St, Goodyear, AZ 85338-7905 | 2010-10-25 |
| 1487963773 | Kevin Hoang Pham | Pharmacist | 14047 W Windsor Ave, Goodyear, AZ 85395-2485 | 2010-10-04 |
| Find all providers in GOODYEAR | ||||
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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.