Hicks Health MD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HICKS HEALTH MD

Practice address

1781 N Old Wire Rd
Fayetteville, AR 72703-3016

Phone

(939) 996-9413

NPI assigned

Sep 22, 2026

Organization subpart

No

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

Authorized official

Name

Patricia A Johnson

Title

Manager

Phone

(939) 996-9413

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790035200000",
    "number": "1215849211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 N OLD WIRE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033016",
            "telephone_number": "939-996-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 N OLD WIRE RD",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033016",
            "telephone_number": "939-996-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKS HEALTH MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "939-996-9413"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Hesley
• Hans Barron Heymann, MD
• Sydney Steed Hibbs
• Tara J Hickman, NMD
• Samantha Hickmon, LPC
• Evan Hanne Hicks
• Jennifer Lynn Hicks, RD
• Johnny Mike Hicks II
• Lature Elease Hicks, NP-C
• Stephanie Hicks, M.S., CCC-SLP

• Community/Retail Pharmacy in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.