Active NPI
Nicholas Hicks, PHARMD
- Pharmacist
- Raymore, MO
National Provider Identifier
1609404318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2018028850
- Practice address
- 501 N Sunset LN
Raymore, MO 64083-9402 - Phone
- (165) 267-2188
- Fax
- (816) 441-6194
- NPI assigned
- Mar 29, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1-107295 | KS | |
| Pharmacist | 183500000X | 20855 | OK | |
| Pharmacist | 183500000X | 2018028850 | MO | Primary |
Addresses
Primary practice location
501 N Sunset LN
Raymore, MO 64083-9402
Mailing address
501 N Sunset LN
Raymore, MO 64083-9402
Phone (165) 267-2188
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 |
|---|---|---|---|
| 1-107295 | KS | MD | Pharmacist |
| 2018028850 | MO | MD | Pharmacist |
| 20855 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Koechner Pharmacies LLC | Past | Accepting new patients | |
| Koechner Pharmacies, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Kex Rx Pharmacy & Home Care
- Long Term Care Pharmacy
- Atchison, KS
- NPI 1851096895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744070400000",
"number": "1609404318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N SUNSET LN",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839402",
"telephone_number": "165-267-2188",
"fax_number": "816-441-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N SUNSET LN",
"city": "RAYMORE",
"state": "MO",
"postal_code": "640839402",
"telephone_number": "165-267-2188",
"fax_number": "816-441-6194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-29",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-107295",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "20855",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2018028850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raymore, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.