DR. JONATHAN MICHAEL HICKMAN (NPI# 1710256995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710256995 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN MICHAEL HICKMAN |
| Credential | RPH |
| Practice Address |
371 Milestone Dr Tallahassee FL 32312-3575 |
| Practice Telephone | 8505801899 |
| Mailing Telephone | 8505801899 |
| Enumeration Date | 2011-12-18 |
| Last Update Date | 2011-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
PS34311 | FL | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750900304 | Jonathan David Hickman | Student in an Organized Health Care Education/Training Program | Nmcp 620 John Paul Jones Cir., Bldg 3, Portsmouth, VA 23708 | 2020-04-14 |
| 1639315534 | Jonathan Todd Hickman | Social Worker | 2924 Walnut Grove Rd, Ste. 2, Memphis, TN 38111-2714 | 2008-12-23 |
| 1235518838 | Jonathan Scott Hickman | Internal Medicine | 835 E 18th Ave Ste 110, Denver, CO 80218 | 2015-05-28 |
| 1649613555 | Jonathan Elliott Hickman | Nurse Practitioner | 1145 Sagamore Ave, Portsmouth, NH 03801-5503 | 2013-04-10 |
| Street Address |
371 MILESTONE DR |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32312-3575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274235 | Jennifer Stinson | Technician | 10014 Journeys En, Tallahassee, FL 32312 | 2019-09-19 |
| 1528581766 | Amanda Michele Chandler | Counselor | 2634 Capital Circle N.e., Tallahassee, FL 32312 | 2017-07-19 |
| 1902330871 | Therese Melendez | Recreation Therapist | 9346 Buck Haven Trl, Tallahassee, FL 32312 | 2017-04-17 |
| 1104373240 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5442 Thomasville Rd, Suite 1, Tallahassee, FL 32312 | 2016-09-07 |
| 1568819753 | Kaydi Blackstock | Specialist/Technologist | 7200 Lawton Chiles Ln, Tallahassee, FL 32312 | 2016-05-18 |
| 1275994212 | Tiffany Coleman | Pharmacist | 6680 Thomasville Road, Tallahassee, FL 32312 | 2016-03-18 |
| 1659743235 | Psychological Center | Community/Behavioral Health | 8819 Minnow Creek Dr, Tallahassee, FL 32312 | 2015-10-22 |
| 1780098723 | Andrew Bellebaum | Dentist | 554 Keily Street Bureau of Med and Sur, Centralized Credentials and Privilegeing, Jacksonville, FL 32312 | 2014-06-18 |
| 1851714299 | Hf Acupuncture and Chinese Medicine Center LLC | Acupuncturist | 1282 Timberlane Rd, Tallahassee, FL 32312 | 2014-01-21 |
| 1629326061 | Ana E Raynolds | Speech-Language Pathologist | 3457 Cedarwood Trail, Tallahassee, FL 32312 | 2012-08-15 |
| Find all providers in zip 32312 | ||||
| Taxonomy Code | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659742716 | Jay William Wallace | Pharmacist | 1616 Physicians Dr, Tallahassee, FL 32308-4619 | 2015-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306475769 | Gianluca Gullo | Pharmacist | 6463 S Falkenburg Rd, Riverview, FL 33578-8696 | 2020-04-07 |
| 1336624576 | Herbert Nichols | Pharmacist | 1583 Pratt St, Deland, FL 32720-8445 | 2018-10-02 |
| 1174061048 | Kenneth Webster Fuqua Sr. | Pharmacist | 1122 Old Polk City Rd, Lakeland, FL 33809-6622 | 2017-02-10 |
| 1366989378 | Betsy Townsend | Pharmacist | 1075 Coastal Cir, Ocoee, FL 34761-4319 | 2017-01-28 |
| 1821485046 | Gretchen Mary Petrie | Pharmacist | 1255 Kasamada Dr, Fort Myers, FL 33919-1622 | 2015-04-26 |
| 1982090080 | Lissel Cruz | Pharmacist | 7030 Sw 8th St, Pembroke Pines, FL 33023-1636 | 2015-04-15 |
| 1164869426 | Reetesh Kumar Jaiswal | Pharmacist | 5214 Neil Dr, St Petersburg, FL 33714-2401 | 2013-05-28 |
| 1013266493 | Peter L Day | Pharmacist | 6447 Nw 55th St, Coral Springs, FL 33067-2709 | 2012-08-31 |
| 1205118148 | David Milstein | Pharmacist | 11831 Nw 25th St, Plantation, FL 33323-1701 | 2011-09-16 |
| 1104076215 | Maya Abby Myalil | Pharmacist | 3088 Country Club Blvd, Orange Park, FL 32073-5730 | 2008-09-25 |
| Find all providers with the same taxonomy | ||||
| City | TALLAHASSEE |
| Zip Code | 32312 |
Please comment or provide details below to improve the information on DR. JONATHAN MICHAEL HICKMAN.
| 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.