Active NPI
Christine Carole Hicks, RPH
- Pharmacist
- Cornelius, OR
National Provider Identifier
1124067640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0009911
- Practice address
- 1152 Baseline
Cornelius, OR 97113-9019 - Phone
- (503) 352-8553
- Fax
- (503) 352-8554
- NPI assigned
- Jun 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0009911 | OR | Primary |
| Pharmacist | 183500000X | PH00017057 | WA |
Addresses
Primary practice location
1152 Baseline
Cornelius, OR 97113-9019
Mailing address
8855 SW Brabham Way
Gaston, OR 97119-9025
Phone (503) 985-0140
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PH00017057 | Other | WA | PHARMACIST LICENSE |
| RPH-0009911 | Other | OR | PHARMACIST LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0009911 | OR | MD | Pharmacist |
| PH00017057 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124067640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8855 SW BRABHAM WAY",
"city": "GASTON",
"state": "OR",
"postal_code": "971199025",
"telephone_number": "503-985-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1152 BASELINE",
"city": "CORNELIUS",
"state": "OR",
"postal_code": "971139019",
"telephone_number": "503-352-8553",
"fax_number": "503-352-8554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "CHRISTINE",
"middle_name": "CAROLE",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0009911",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00017057",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "PH00017057",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE",
"identifier": "RPH-0009911",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cornelius, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.