Active NPI
Kia Catoe Hicklin
- Pharmacist
- Rock Hill, SC
National Provider Identifier
1942582879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 010791
- Practice address
- 1237 Ebenezer Rd
Rock Hill, SC 29732-2353 - Phone
- (803) 939-8489
- NPI assigned
- Sep 16, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 010791 | SC | Primary |
Addresses
Primary practice location
1237 Ebenezer Rd
Rock Hill, SC 29732-2353
Mailing address
4013 Timber Crossing Dr
Rock Hill, SC 29730-6148
Phone (803) 324-5306
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010791 | SC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316131200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1942582879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4013 TIMBER CROSSING DR",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297306148",
"telephone_number": "803-324-5306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1237 EBENEZER RD",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297322353",
"telephone_number": "803-939-8489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKLIN",
"first_name": "KIA",
"middle_name": "CATOE",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "010791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.