Leonard Ray Hickman III, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

11113 Issued in AL

Practice address

22530 US Highway 98
Fairhope, AL 36532-8303

Phone

(251) 929-7359

Fax

(251) 929-7364

NPI assigned

Jan 18, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1922346378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22530 US HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328303",
            "telephone_number": "251-929-7359",
            "fax_number": "251-929-7364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22530 US HIGHWAY 98",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365328303",
            "telephone_number": "251-929-7359",
            "fax_number": "251-929-7364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKMAN",
        "first_name": "LEONARD",
        "middle_name": "RAY",
        "name_suffix": "III",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "11113",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "25836",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25836",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "11113",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Brooks Herron, M.D.
• Anne Green Heselton, MSW, LCSW
• Joshua Alan Heselton, LICSW
• Hester Counseling, LLC
• Carl Herbert Hickey Jr., LICSW
• Christopher R Hicks, HAS, BC-HIS
• Joel Brian Hicks
• Elizabeth Rose Hill, PHARMD
• Nicole Wallace Hill, CRNP
• William Bruce Hill, LPC

• Pharmacist in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Pharmacist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.