KELSEY BRIANNE HICKMAN (NPI# 1477015691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477015691 |
Entity Type | Individual |
Full Name | KELSEY BRIANNE HICKMAN |
Credential | PHARMD |
Practice Address |
770 Balgreen Dr Ste 104 Mansfield OH 44906-4106 |
Mailing Address |
246 Fairlawn Ave Mansfield OH 44903-7026 |
Practice Telephone | 4195268972 |
Practice Fax Number | 4195298974 |
Mailing Telephone | 4194969693 |
Enumeration Date | 2019-04-05 |
Last Update Date | 2019-04-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 183500000X | Pharmacist | 03135613 | OH | Pharmacy Service Providers |
Street Address |
770 BALGREEN DR STE 104 |
City | MANSFIELD |
State | OH |
Zip Code | 44906-4106 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
Find all providers in zip 44906 |
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 |
---|---|---|---|---|
1063013951 | Travis Tuan Tran | Pharmacist | 1826 Lake Glen Trl, Mansfield, TX 76063-4090 | 2020-11-05 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1275170649 | Thi Thi Hoang Diep | Pharmacist | 503 Marquis Ln, Mansfield, TX 76063-9123 | 2019-12-04 |
1598317422 | Allisa Laford I | Pharmacist | 140 N Frontage Road, Within United Services Inc. Room 171, Mansfield, CT 06250-0625 | 2019-07-11 |
1629531421 | Sara Rebecca Pannell | Pharmacist | 3145 East Broad Street, Mansfield, TX 76063 | 2019-04-09 |
1811352784 | Lisa Marie Rivera | Pharmacist | 1600 Mallard Cir, Mansfield, TX 76063-4082 | 2015-12-20 |
1871964304 | Lilian Nyanganyi Momanyi | Pharmacist | 4303 Crestview Ln, Mansfield, TX 76063-8623 | 2015-10-09 |
1588031223 | Hieu-nam Nguyen | Pharmacist | 901 E Broad St, Mansfield, TX 76063 | 2015-08-28 |
1356718118 | Travis Rahe | Pharmacist | 865 Lexington Ave, Mansfield, OH 44907-1945 | 2015-08-27 |
1770967903 | Naser Abdallah | Pharmacist | 700 Walnut Bend Dr, Mansfield, TX 76063-5857 | 2015-07-17 |
Find all providers in MANSFIELD |
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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.