Organization Active NPI

Hikmat T Fikrat

  • Community/Retail Pharmacy
  • Stockton, CA
National Provider Identifier
1154342111
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY39652 Issued in CA
Legal business name
HIKMAT T FIKRAT
Practice address
4873 West LN
Ste B
Stockton, CA 95210-4548
Phone
(209) 478-2528
Fax
(209) 478-6636
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hikmat Fikrat, PHD
Title
Owner MGR
Phone
(925) 998-8117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PHY39652 CA Primary

Addresses

Primary practice location

4873 West LN
Ste B
Stockton, CA 95210-4548

Mailing address

PO Box 8690
Stockton, CA 95208
Phone (209) 478-2528

Other identifiers 2

IdentifierTypeStateIssuer
PHA396520MedicaidCA
2065154OtherPK

Other names 1

  • WEST LANE PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1154342111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8690",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95208",
            "telephone_number": "209-478-2528",
            "fax_number": "209-478-6636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 WEST LN",
            "address_2": "STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104548",
            "telephone_number": "209-478-2528",
            "fax_number": "209-478-6636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIKMAT T FIKRAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "FIKRAT",
        "authorized_official_first_name": "HIKMAT",
        "authorized_official_title_or_position": "OWNER MGR",
        "authorized_official_telephone_number": "925-998-8117",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY39652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA396520",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2065154",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WEST LANE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.