William Wesley Hickman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

17784 Issued in NC

Practice address

4961 Long Beach Rd SE Ste 1
Southport, NC 28461-8001

Phone

(910) 457-9566

NPI assigned

Aug 31, 2011

Sex

Male

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

Credentials

Doctor of Pharmacy

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.

• Dma Enterprises LLC

  • Community/Retail Pharmacy
  • Leland, NC
  • NPI 1952960866
  NPD (past) Authorized official

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1730460940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 FOXBOW CV",
            "city": "LELAND",
            "state": "NC",
            "postal_code": "284519343",
            "telephone_number": "910-274-3847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4961 LONG BEACH RD SE STE 1",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618001",
            "telephone_number": "910-457-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "WILLIAM",
        "middle_name": "WESLEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rick J Hernandez, M.D.
• Mark Herzog, PTA
• Kaylee Heschke
• Carol H Hester, MA
• Karen Hewett
• Brad L Hilaman, MD
• Richard Wayne Hilliard Jr., D.O.
• Tonya Hilliard, LCAS-A
• Douglas K Hiltz, MD
• Melissa Holden, ACNP-BC

• Pharmacist in Southport, NC
• Providers in Southport, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.