Active NPI
Cassandra N Hickman, PHARMD
- Pharmacist
- Bardstown, KY
National Provider Identifier
1952079337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 015458
- Practice address
- 3144 Yorkshire Dr
Bardstown, KY 40004-9431 - Phone
- (502) 460-1909
- NPI assigned
- Sep 1, 2021
- 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 | 015458 | KY | Primary |
Addresses
Primary practice location
3144 Yorkshire Dr
Bardstown, KY 40004-9431
Mailing address
3144 Yorkshire Dr
Bardstown, KY 40004-9431
Phone (502) 460-1909
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015458 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1952079337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3144 YORKSHIRE DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400049431",
"telephone_number": "502-460-1909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3144 YORKSHIRE DR",
"city": "BARDSTOWN",
"state": "KY",
"postal_code": "400049431",
"telephone_number": "502-460-1909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKMAN",
"first_name": "CASSANDRA",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "015458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bardstown, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.