Active NPI
Ronda Elaine Hicks
- Pharmacist
- Anthem, AZ
National Provider Identifier
1972926319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S014301
- Practice address
- 4435 W Anthem Way
Anthem, AZ 85086-0467 - Phone
- (623) 551-6327
- Fax
- (623) 551-6329
- NPI assigned
- Jan 21, 2014
- Last updated
- Jan 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | S014301 | AZ | Primary |
Addresses
Primary practice location
4435 W Anthem Way
Anthem, AZ 85086-0467
Mailing address
38803 N Courage CT
Anthem, AZ 85086-2791
Phone (928) 830-9393
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 |
|---|---|---|---|
| S014301 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reehs Arizona LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1972926319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38803 N COURAGE CT",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850862791",
"telephone_number": "928-830-9393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 W ANTHEM WAY",
"city": "ANTHEM",
"state": "AZ",
"postal_code": "850860467",
"telephone_number": "623-551-6327",
"fax_number": "623-551-6329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HICKS",
"first_name": "RONDA",
"middle_name": "ELAINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S014301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anthem, AZ
- HDP North Valley Dental LLC (North Valley Family Dentistry)
- Healthproassist LLC
- Nicole Angelina Hennigan, FNP-C
- Gary Henshaw, RPH
- Samuel Brian Hester, DC
- Alisa Hirschberg, PHARM.D.
- Frederick Alan Hirth, RPH
- Honorhealth
- Honorhealth (Gavilan Peak)
- Honorhealth Medical Group, LLC (Gavilan Peak Family Practice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.