Robert Lee Hickerson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

8680 Issued in SC

Practice address

2120 Boiling Springs Rd
Ingles Pharmacy
Spartanburg, SC 29316-5301

Phone

(864) 599-0668

NPI assigned

Mar 2, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Ingles Markets Inc

  • Community/Retail Pharmacy
  • Spartanburg, SC
  • NPI 1457625428
  NPD (past)
• Ingles Markets Inc

  • Community/Retail Pharmacy
  • Acworth, GA
  • NPI 1023872108
  NPD (past)

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330646400000",
    "number": "1205100609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 BOILING SPRINGS RD",
            "address_2": "INGLES PHARMACY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293165301",
            "telephone_number": "864-599-0668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 BOILING SPRINGS RD",
            "address_2": "INGLES PHARMACY",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293165301",
            "telephone_number": "864-599-0668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKERSON",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-02",
        "last_updated": "2012-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "8680",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "9045",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Fredrick Hertwig
• Katherine Kelly Hertwig, CRNA
• Steven Paul Hess, DO
• Landon Hewell, PA-C
• Rebecca Nicole Heyer, DO
• D Mark Hicklin, M. D.
• David Clayton Hicks, O.D.
• Higginbotham & Nease Orthodontics, P.a.
• Janice Hall Higginbotham, LMSW, MAC, NCAC II
• High Point Academy

• Pharmacist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; 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.