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
- 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 and National Provider Directory roles.
-
- Pharmacy
- Mayer, AZ
- NPI 1528436292
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
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.