Individual provider Active NPI

Stacy Hicks

  • Pharmacist
  • Nazareth, PA
National Provider Identifier
1689087421
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP446950 Issued in PA
Practice address
859 Nazareth Pike
Nazareth, PA 18064-9005
Phone
(610) 759-8368
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP446950 PA Primary

Addresses

Primary practice location

859 Nazareth Pike
Nazareth, PA 18064-9005

Mailing address

506 School House Rd
Nazareth, PA 18064-9659

Other practice location 1

601 S 25th St
Easton, PA 18045-5336
Phone (610) 252-7405

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

State licenses

LicenseStateTypeSpecialty
RP446950PAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
The Giant Company, LLC PastSince Nov 15, 2020 Accepting new patients
Thrift Drug Inc Past Accepting new patients
Thrift Drug Inc Past Accepting new patients
The Giant Company, LLC PastSince Nov 15, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1689087421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 SCHOOL HOUSE RD",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 NAZARETH PIKE",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180649005",
            "telephone_number": "610-759-8368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 S 25th St",
            "address_purpose": "LOCATION",
            "city": "Easton",
            "state": "PA",
            "postal_code": "180455336",
            "country_code": "US",
            "telephone_number": "610-252-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP446950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2020; 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.