MR. JOE GANN HICKS (NPI# 1932499795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932499795 |
| Entity Type | Individual |
| Full Name | MR. JOE GANN HICKS |
| Other Name | JOE GANN HICKS |
| Practice Address |
32675 Arbor Ridge Cir Lillian AL 36549-3975 |
| Practice Telephone | 2519612067 |
| Mailing Telephone | 2519612067 |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2011-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 6731 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 4940 | AL | Pharmacy Service Providers |
| Street Address |
32675 ARBOR RIDGE CIR |
| City | LILLIAN |
| State | AL |
| Zip Code | 36549-3975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477900025 | Kammer Chiropractic, Pllc | Clinic/Center | 12232 County Rd. 99 S., Lillian, AL 36549 | 2016-05-24 |
| 1902964257 | Appalachian Medical Equipment Co., Inc. | Durable Medical Equipment & Medical Supplies | 12831 6th Avenue, Lillian, AL 36549 | 2006-12-05 |
| 1992802458 | Robert Stephen Love | Pharmacist | 12831 6th Street, Lillian, AL 36549 | 2006-09-19 |
| 1023105640 | Wilbur Leslie Macon | Pharmacist | 12831 6th Street, Lillian, AL 36549 | 2006-10-06 |
| 1881701449 | James Girod Pace | Family Medicine | 12839 6th St, Lillian, AL 36549-0797 | 2006-08-23 |
| 1417936089 | Gary L Fishbein | Dentist | 12658 Santa Piedro St, Lillian, AL 36549-4042 | 2006-01-12 |
| 1457809162 | Lillian Family Dentistry, P.C. | Dentist | 12658 Santa Piedro St, Lillian, AL 36549-4042 | 2016-09-12 |
| 1497354617 | Southcoast Medical Services | Family Medicine | 34463 Us Highway 98 Ste G, Lillian, AL 36549-4049 | 2020-10-19 |
| 1407935950 | Fitting Designs, Inc. | Prosthetic/Orthotic Supplier | 34463 Us Highway 98 Unit H, Lillian, AL 36549-4049 | 2006-11-03 |
| 1285604363 | Radcliffe John Coyle | Family Medicine | 34463 Us Highway 98, Lillian, AL 36549-4049 | 2006-01-23 |
| Find all providers in zip 36549 | ||||
| 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 |
|---|---|---|---|---|
| 1992802458 | Robert Stephen Love | Pharmacist | 12831 6th Street, Lillian, AL 36549 | 2006-09-19 |
| 1083969679 | Carrie Renee Ray | Pharmacist | 12831 6th St, Lillian, AL 36549-4166 | 2012-07-19 |
| 1023105640 | Wilbur Leslie Macon | Pharmacist | 12831 6th Street, Lillian, AL 36549 | 2006-10-06 |
| 1902825813 | Stacy Davis | Pharmacist | 34023 Us Highway 98, Lillian, AL 36549-4053 | 2006-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245830934 | Casey Delane Sumner | Pharmacist | 1930 Pleasant Ridge Loop, Sylacauga, AL 35150 | 2020-10-30 |
| 1225637929 | Jessica Lynn Bogucki | Pharmacist | 5324 Bristolwood Cir, Northport, AL 35475-5938 | 2020-10-22 |
| 1770181018 | Patrick R Brown | Pharmacist | 1167 County Road 437 Ste A, Cullman, AL 35055-0203 | 2020-10-09 |
| 1124625835 | Nancy Kickliter | Pharmacist | 404 Beach Island Trce, Dadeville, AL 36853-4615 | 2020-10-06 |
| 1700483484 | Abigail Cooke | Pharmacist | 5636 Vista Bonita Dr N, Mobile, AL 36609-2522 | 2020-10-05 |
| 1750988846 | Margaret Braden | Pharmacist | 561 Sr-69, Hanceville, AL 35077 | 2020-10-02 |
| 1891302857 | Christopher Hamilton Vought | Pharmacist | 3201 Endeavor Ln, Vestavia, AL 35242-8250 | 2020-09-24 |
| 1659988566 | Joshua Manning | Pharmacist | 459 Dauphin St Apt B, Mobile, AL 36602-2413 | 2020-09-24 |
| 1396352456 | Lindsey Hawkins | Pharmacist | 350 County Road 723, Cullman, AL 35055-9040 | 2020-09-23 |
| 1548874266 | Generational Care LLC | Pharmacist | 4748 Regal Dr, Montgomery, AL 36116-4415 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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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.