Active NPI
Lauren Deanna Hickman, PHARMD
- Pharmacist
- Baltimore, MD
National Provider Identifier
1568846525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 25068
- Practice address
- 600 N. Wolfe Street
Carnegie 180
Baltimore, MD 21224 - Phone
- (410) 502-5188
- NPI assigned
- Jul 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 25048 | MD | |
| Pharmacist | 183500000X | 25068 | NC | Primary |
Addresses
Primary practice location
600 N. Wolfe Street
Carnegie 180
Baltimore, MD 21224
Mailing address
1900 S Hawthorne Rd
Winston Salem, NC 27103-3913
Phone (844) 590-6351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25048 | MD | MD | Pharmacist |
| 25068 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1568846525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 S HAWTHORNE RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033913",
"telephone_number": "844-590-6351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 N. WOLFE STREET",
"address_2": "CARNEGIE 180",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21224",
"telephone_number": "410-502-5188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "LAUREN",
"middle_name": "DEANNA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-18",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "25048",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "25068",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.