Jacob Hicks

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

PH60727731 Issued in WA

Practice address

7700 NE Highway 99 Ste B
Vancouver, WA 98665-8890

Phone

(360) 699-8133

NPI assigned

May 14, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1851828495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 NE HIGHWAY 99 STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658890",
            "telephone_number": "360-699-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 NE HIGHWAY 99 STE B",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658890",
            "telephone_number": "360-699-8133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2930 Ocean Beach Hwy",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "WA",
            "postal_code": "986323514",
            "country_code": "US",
            "telephone_number": "360-575-6240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HICKS",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-14",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "WA",
            "license": "PH60727731",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60727731",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kailee Hibbs
• Michael Walter Hibbs, PA
• Rachael Hickert, MA
• Taylor Hickman
• Alamander Hicks, PHD
• Kevin Spencer Hicks
• Logan Hicks, AAC
• Shauna Michelle Hicks, M.D.
• Rebecca Higbee, M.D.
• Chance Higginbotham, D.C.

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.