Sara Nadine Hicks

Primary specialty

PharmacistTaxonomy code 183500000X

License

42138 Issued in SC

Practice address

650 Johnnie Dodds Blvd
Mount Pleasant, SC 29464-3013

Phone

(843) 849-3471

NPI assigned

Sep 26, 2019

Last updated

Mar 12, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1569456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1750932133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 NORTH CORNER EST. ROADLAN",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOHNNIE DODDS BLVD",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643013",
            "telephone_number": "843-849-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "SARA",
        "middle_name": "NADINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-26",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Pharmacy",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "650 Johnnie Dodds Blvd",
            "city": "Mount Pleasant",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294643013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Harriet C Hetzel, MED,CCC,SLP
• Emily C Heuring, PHARMD
• Julia Tascha Hewitt, CCC-SLP
• Laura Jean Heyman, RN
• Lori Hickman, OT
• Elizabeth Brooks High, OTD,OTR/L
• Kellie A Hilker, PH.D.
• Jesse Hill
• Kathleen E Hill, MA, CCC-SLP
• Veronica Leigh Hill, RN

• Pharmacist in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.