Active NPI
Yanick Hicks
- Pharmacist
- Buckeye, AZ
National Provider Identifier
1700394210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S023119
- Practice address
- 23477 W Yuma Rd
Buckeye, AZ 85326-3103 - Phone
- (623) 337-9161
- NPI assigned
- Jan 18, 2018
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S023119 | AZ | Primary |
Addresses
Primary practice location
23477 W Yuma Rd
Buckeye, AZ 85326-3103
Mailing address
4032 W Osborn Rd Apt 203
Phoenix, AZ 85019-3970
Phone (510) 209-9951
Other practice location 1
4032 W Osborn Rd Apt 203
Phoenix, AZ 85019-3970
Phone (510) 209-9951
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
| License | State | Type | Specialty |
|---|---|---|---|
| S023119 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1700394210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4032 W OSBORN RD APT 203",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850193970",
"telephone_number": "510-209-9951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23477 W YUMA RD",
"city": "BUCKEYE",
"state": "AZ",
"postal_code": "853263103",
"telephone_number": "623-337-9161"
}
],
"practiceLocations": [
{
"address_1": "4032 W Osborn Rd Apt 203",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850193970",
"country_code": "US",
"telephone_number": "510-209-9951",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HICKS",
"first_name": "YANICK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S023119",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buckeye, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.