Individual provider Active NPI

Richard M Hicks

  • Pharmacist
  • Tarpon Springs, FL
National Provider Identifier
1760085500
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS24882 Issued in FL
Practice address
1000 E Tarpon Ave
Tarpon Springs, FL 34689-5438
Phone
(727) 937-4203
Fax
(727) 942-7687
NPI assigned
Nov 16, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 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 PS24882 FL Primary

Addresses

Primary practice location

1000 E Tarpon Ave
Tarpon Springs, FL 34689-5438

Mailing address

1000 E Tarpon Ave
Tarpon Springs, FL 34689-5438
Phone (727) 937-4203

Other identifiers 1

IdentifierTypeStateIssuer
PS24882OtherFLORIDA PHARMACIST LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL rhicks@cvs.com Direct

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
PS24882FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1760085500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895438",
            "telephone_number": "727-937-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E TARPON AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346895438",
            "telephone_number": "727-937-4203",
            "fax_number": "727-942-7687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "RICHARD",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS24882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHARMACIST LICENSE NUMBER",
            "identifier": "PS24882",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rhicks@cvs.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 E Tarpon Ave",
            "city": "Tarpon Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346895438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.