Hickmans Prescription Druggist Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0550120 Issued in WV

Legal business name

HICKMANS PRESCRIPTION DRUGGIST INC

Practice address

199 12TH Street Ext
Princeton, WV 24740-2352

Phone

(304) 425-2188

Fax

(304) 425-2189

NPI assigned

Jun 5, 2006

Organization subpart

No

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

Authorized official

Name

John Hickman, RPHNPI 1174616494

Title

Pic

Phone

(304) 425-2188

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• HICKMANS PRESCRIPTION DRUG Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Roger Hickman III, RPH

  • Pharmacist
  • Princeton, WV
  • NPI 1174616494
  NPD Authorized official

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1194764167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-425-2188",
            "fax_number": "304-425-2189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 12TH STREET EXT",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402352",
            "telephone_number": "304-425-2188",
            "fax_number": "304-425-2189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKMANS PRESCRIPTION DRUGGIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-05",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "HICKMAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "304-425-2188",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0550120",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2109476",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141947000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HICKMANS PRESCRIPTION DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Hepner
• Twyla McGuire Hersman, LPC
• Michele Hibbs
• John Roger Hickman III, RPH
• Hickmans Prescription Druggist Inc
• Elijah Hicks
• Leah Hicks
• Rebecca Hicks
• Bretina Hightower, BS, MSW, LGSW
• Nicholas David Higinbotham, DO

• Community/Retail Pharmacy in Princeton, WV
• Providers in Princeton, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.