Active NPI
Sherwin Preston Hicks
- Pharmacist
- Philadelphia, PA
National Provider Identifier
1144891318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP045780L
- Practice address
- 333 E Wyoming Ave
Philadelphia, PA 19120-4453 - Phone
- (215) 333-1555
- Fax
- (267) 367-5554
- NPI assigned
- Jul 8, 2021
- Sex
- Male
- 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 | 183500000X | RP045780L | PA | Primary |
Addresses
Primary practice location
333 E Wyoming Ave
Philadelphia, PA 19120-4453
Mailing address
333 E Wyoming Ave
Philadelphia, PA 19120-4453
Phone (215) 333-1555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RP045780L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wyoming Pharmacy LLC | Current | Accepting new patients | |
| Jana Pharmacy Inc. | Current | Accepting new patients |
Locations
333 E Wyoming Ave
Philadelphia, PA 19120
Phone (215) 333-1555
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625702400000",
"number": "1144891318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191204453",
"telephone_number": "215-333-1555",
"fax_number": "267-367-5554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191204453",
"telephone_number": "215-333-1555",
"fax_number": "267-367-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "SHERWIN",
"middle_name": "PRESTON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-07-08",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP045780L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.