JENNIFER M HICKS (NPI# 1578844718) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578844718 |
| Entity Type | Individual |
| Full Name | JENNIFER M HICKS |
| Credential | PHARMD |
| Practice Address |
1711 N Morley St Moberly MO 65270-3630 |
| Mailing Address |
Po Box 762 Moberly MO 65270-0762 |
| Practice Telephone | 6602630793 |
| Mailing Telephone | 9126609976 |
| Enumeration Date | 2011-09-01 |
| Last Update Date | 2011-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | RPH025063 | GA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 2011007381 | MO | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508492844 | Jennifer Hicks | Music Therapist | 13228 Spencer Sweet Pea Ln, Eden Prairie, MN 55347-2181 | 2020-03-18 |
| 1104354554 | Jennifer Hicks | Physical Therapist | 2777 Jefferson Davis Hwy Ste 109, Stafford, VA 22554-8323 | 2017-05-30 |
| 1831599620 | Jennifer Hicks | Acupuncturist | 31 Village Dr W, Hamilton, NJ 08620-1309 | 2014-08-28 |
| 1821231382 | Jennifer Joan Hicks | Behavioral Analyst | 641 N Keene Rd, Clearwater, FL 33755-5635 | 2009-04-14 |
| 1770519597 | Jennifer Lee Hicks | Naturopath | 9755 Sw Barnes Rd Ste 155, Portland, OR 97225-6679 | 2006-06-23 |
| 1649231408 | Jennifer O Hicks | Obstetrics & Gynecology | 276 Nissan Pkwy, Building E Suite 100, Canton, MS 39046-7006 | 2006-03-31 |
| 1801403134 | Jennifer Barbara Hicks | Counselor | 20 Eastbrook Rd Ste 104, Dedham, MA 02026-2088 | 2020-09-30 |
| 1720698343 | Jennifer Hicks | Behavior Technician | 941 Professional Park Dr, Clarksville, TN 37040-5137 | 2020-08-07 |
| 1669036778 | Jennifer Michelle Hicks | Counselor | 600 Arthur St, Knoxville, TN 37921-6405 | 2019-04-24 |
| 1275051682 | Jennifer Hicks | Counselor | 11754 Jollyville Rd Ste 110, Austin, TX 78759-3948 | 2017-09-06 |
| Street Address |
1711 N MORLEY ST |
| City | MOBERLY |
| State | MO |
| Zip Code | 65270-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962562058 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 1711 N Morley St, Moberly, MO 65270-3630 | 2006-12-11 |
| 1891306528 | Ian Thacker | Pharmacist | 1711 N Morley St, Moberly, MO 65270-3630 | 2020-08-14 |
| 1275810558 | Shirley Marie Kribbs | Pharmacist | 1711 N Morley St, Moberly, MO 65270-3630 | 2011-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628052 | Thomas Johnston | Physical Therapist | Thrive Physical Therapy, LLC, 417 E Urbandale Drive, Moberly, MO 65270 | 2019-03-14 |
| 1245709682 | Sam's Prescription Shop, Inc. | Durable Medical Equipment & Medical Supplies | 300 N. Morley Street, Moberly, MO 65270 | 2018-11-15 |
| 1639324585 | Trinidad J. Aguilera | General Practice | 5201 South Morley, Moberly, MO 65270 | 2008-11-19 |
| 1023270170 | Jessica Winn | Internal Medicine | 1513 Union Ave Ste 1500, Moberly, MO 65270 | 2008-06-30 |
| 1629237383 | Heather Ann Lavalley | Physical Therapy Assistant | 1346 S Morley, Moberly, MO 65270 | 2008-06-06 |
| 1265602429 | Mckenzie Prescription Center Inc | Hearing Aid Equipment | 643 N Morley St Ste A, Moberly, MO 65270 | 2008-03-04 |
| 1366624165 | Sharon Kay Steele | Military Hospital | 1510 Highway Jj Lot41, Moberly, MO 65270 | 2007-12-04 |
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1588700140 | Heartland Neurology, LLC | Psychiatry & Neurology | 300 N. Morley, Suite H, Moberly, MO 65270 | 2007-01-30 |
| 1164571519 | John James Oloughlin | Dentist | 1616 N Morely, Ste B, Moberly, MO 65270 | 2007-01-08 |
| Find all providers in zip 65270 | ||||
| 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 |
|---|---|---|---|---|
| 1932241536 | Christian S Tadrus | Pharmacist | 530 E. 24 Highway, (26-39586), Moberly, MO 65270 | 2007-02-12 |
| 1083214480 | Bethany Billups | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3655 | 2020-10-27 |
| 1891306528 | Ian Thacker | Pharmacist | 1711 N Morley St, Moberly, MO 65270-3630 | 2020-08-14 |
| 1558970475 | Brandie Lynn Wilkerson | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2020-07-27 |
| 1841737582 | Anne C. Eisenbeis | Pharmacist | 530 East 24 Highway, Moberly, MO 65270 | 2017-01-19 |
| 1609233956 | Rhonda Cachero | Pharmacist | 300 N Morley St, Moberly, MO 65270-2334 | 2016-01-18 |
| 1780060855 | Kerri Manson | Pharmacist | 530 E Highway 24, Moberly, MO 65270-3622 | 2015-07-30 |
| 1962814541 | Barbara Ann Woodcock | Pharmacist | 1301 E Highway 24, Moberly, MO 65270-3683 | 2014-05-29 |
| 1275810558 | Shirley Marie Kribbs | Pharmacist | 1711 N Morley St, Moberly, MO 65270-3630 | 2011-11-14 |
| 1427334135 | Tracie Crawford Lykins | Pharmacist | 300 N. Morley, Moberly, MO 65270 | 2011-10-26 |
| Find all providers in MOBERLY | ||||
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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.