SERGE YICK (NPI# 1972944627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972944627 |
| Entity Type | Individual |
| Full Name | SERGE YICK |
| Practice Address |
11901 Pleasant Ridge Rd Apt 214 Little Rock AR 72223-2399 |
| Practice Telephone | 2173902826 |
| Mailing Telephone | 2173902826 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PD12344 | AR | Pharmacy Service Providers |
| Street Address |
11901 PLEASANT RIDGE RD APT 214 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72223-2399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609106061 | Betty E Lee | Physical Therapist | 11901 Pleasant Ridge Rd, Apt 724, Little Rock, AR 72223-2399 | 2010-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386102242 | Tyler Edward Hicks | Chiropractor | 14300 West Cantrell Rd Suite 10, Little Rock, AR 72223 | 2019-03-08 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1235666983 | Grant Dennis | Chiropractor | 8201 Ranch Blvd., Suite B5, Little Rock, AR 72223 | 2017-05-12 |
| 1730581588 | Axpm-wlr, LLC | Dentist | 16003 Chanel Parkway, Little Rock, AR 72223 | 2014-09-24 |
| 1730421454 | Artineli Foot Care Solutions Pllc | Clinic/Center | 801 Technology Drive, Suite D, Little Rock, AR 72223 | 2013-03-20 |
| 1669758801 | William Patton Phillips | Obstetrics & Gynecology | 19 Bishop Place, Little Rock, AR 72223 | 2011-11-02 |
| 1003112160 | All Children's Therapy, Inc | Speech-Language Pathologist | 12410 Cantrell Rd., Suite 200, Little Rock, AR 72223 | 2011-02-07 |
| 1558697227 | Malcbndr581, LLC | Skilled Nursing Facility | 6411 Valley Ranch Dr, Little Rock, AR 72223 | 2009-10-30 |
| 1356578298 | Miranda White | Social Worker | 10 Pennsylvania Ct, Little Rock, AR 72223 | 2009-06-18 |
| 1457596959 | Leslie Ann Parks | General Practice | 14524 Cantrell Rd Suite 160, Little Rock, AR 72223 | 2008-12-11 |
| Find all providers in zip 72223 | ||||
| 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 |
|---|---|---|---|---|
| 1588203236 | Amanda Jill Dixon | Pharmacist | 1800 Riverfront Dr, Little Rock, AR 72202-1882 | 2019-12-29 |
| 1952949471 | Tony Wayne Wilson | Pharmacist | 4409 Stone Creek Cv, Little Rock, AR 72210-4954 | 2019-12-16 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1386280691 | Baptist Health | Pharmacist | 9600 Baptist Health Dr Ste 260, Little Rock, AR 72205-6373 | 2019-11-21 |
| 1851944698 | Rachael Lynette Perkins | Pharmacist | 4301 Atwood Rd, Little Rock, AR 72206 | 2019-07-22 |
| 1255998514 | Gene Peter Dalton Herzig | Pharmacist | 904 Autumn Rd Ste 275, Little Rock, AR 72211-3745 | 2019-05-22 |
| 1366901191 | Nicholas Marks Grunewald | Pharmacist | 210 Congressional Cir, Little Rock, AR 72210-2832 | 2019-03-19 |
| 1073081196 | Carlettee Stephens Seng | Pharmacist | 53 Flintwood Dr, Little Rock, AR 72227-5855 | 2018-11-06 |
| 1720576994 | Corey Hayes | Pharmacist | 4301 W Markham St # 755, Little Rock, AR 72205-7101 | 2018-04-24 |
| 1427577436 | Susan Amanda Schee | Pharmacist | 15400 Chenal Pkwy Ste 100, Little Rock, AR 72211-2016 | 2017-09-12 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72223 |
Please comment or provide details below to improve the information on SERGE YICK.
| 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.