Active NPI
Shamita Y Hicks, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Durham, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 27842
- Practice address
- 1817 Martin Luther King Pkwy
Durham, NC 27707 - Phone
- (919) 402-1917
- NPI assigned
- Aug 15, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 27842 | NC | Primary |
Addresses
Primary practice location
1817 Martin Luther King Pkwy
Durham, NC 27707
Mailing address
1817 Martin Luther King Pkwy
Durham, NC 27707-3585
Phone (919) 402-1917
Other practice location 1
104 Chipaway Dr
Greenville, NC 27858-9707
Phone (252) 917-4315
Other practice location 2
104 Chipaway Dr
Greenville, NC 27858-9707
Phone (252) 917-4315
Other practice location 3
1817 Martin Luther King Pkwy
Durham, NC 27707
Phone (919) 402-1917
Other practice location 4
1817 Martin Luther King Pkwy
Durham, NC 27707-3585
Phone (919) 402-1917
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27842 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Teeter LLC | Past | Accepting new patients | |
| Harris Teeter, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Apex, NC
- NPI 1225856859
-
- Community/Retail Pharmacy
- Durham, NC
- NPI 1164526307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536710400000",
"number": "1033699459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1817 MARTIN LUTHER KING PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "277073585",
"telephone_number": "919-402-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1817 MARTIN LUTHER KING PKWY",
"city": "DURHAM",
"state": "NC",
"postal_code": "27707",
"telephone_number": "919-402-1917"
}
],
"practiceLocations": [
{
"address_1": "104 Chipaway Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278589707",
"country_code": "US",
"telephone_number": "252-917-4315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "104 Chipaway Dr",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278589707",
"country_code": "US",
"telephone_number": "252-917-4315",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1817 Martin Luther King Pkwy",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "27707",
"country_code": "US",
"telephone_number": "919-402-1917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1817 Martin Luther King Pkwy",
"address_purpose": "LOCATION",
"city": "Durham",
"state": "NC",
"postal_code": "277073585",
"country_code": "US",
"telephone_number": "919-402-1917",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "SHAMITA",
"middle_name": "Y",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-15",
"last_updated": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "27842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.