Tomikisha Jennifer Hackmon

Primary specialty

DriverTaxonomy code 172A00000X

License

B7552244 Issued in CA

Practice address

8835 Wheelton Rd
Elk Grove, CA 95624-5217

Phone

(916) 670-5162

NPI assigned

Jun 14, 2018

Sex

Female

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

State licenses

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1730672627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957590941",
            "telephone_number": "916-670-5162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8835 WHEELTON RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956245217",
            "telephone_number": "916-670-5162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HACKMON",
        "first_name": "TOMIKISHA",
        "middle_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "CA",
            "license": "B7552244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vung A Ha, PHARM D
• Ariyonna M Habar
• Hach Works
• Trevor W Hacker, M.D.
• Allison Hackett
• Wahida Shokoor Hadaf
• Cessiley Haderlie, AMFT
• John Hadi, PHARM.D.
• Aliyah Hafiz
• Jeffrey Thomas Hagino, DO

• Driver in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Driver in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.

Verify at the official NPI Registry.