Katherine Marie Hicks, CPHT

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

210119156157679 Issued in MO

Practice address

19 Public Square
Stockton, MO 65785

Phone

(417) 276-3128

Fax

(417) 276-4914

NPI assigned

Feb 24, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Zumwalt Pharmacy Inc

  • Community/Retail Pharmacy
  • Stockton, MO
  • NPI 1124127691
  NPD (past)

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1376865865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "657850189",
            "telephone_number": "417-276-3128",
            "fax_number": "417-276-4914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 PUBLIC SQUARE",
            "city": "STOCKTON",
            "state": "MO",
            "postal_code": "65785",
            "telephone_number": "417-276-3128",
            "fax_number": "417-276-4914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "CPHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MO",
            "license": "210119156157679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Friese, DC
• Jama R Gilpin, MD
• Jake Gorrell, PHARMD
• Emily F Green, MS CCC SLP
• Debbie Lynn Haines, CPHT
• Michelle Hoffmann, PSYD
• Neale Wayne Johnson, D.D.S.
• Sarah Lynn Jones, RBT
• Level 4 Medical Professional Corporation
• Mercy Hospital Springfield

• Pharmacy Technician in Stockton, MO
• Providers in Stockton, MO by specialty
• Pharmacy Technician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.