Individual provider Active NPI

Serge Yick

  • Pharmacist
  • Little Rock, AR
National Provider Identifier
1972944627
Registry record updated Jul 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PD12344 Issued in AR
Practice address
11901 Pleasant Ridge Rd
Apt 214
Little Rock, AR 72223-2399
Phone
(217) 390-2826
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD12344 AR Primary

Addresses

Primary practice location

11901 Pleasant Ridge Rd
Apt 214
Little Rock, AR 72223-2399

Mailing address

11901 Pleasant Ridge Rd
Apt 214
Little Rock, AR 72223-2399
Phone (217) 390-2826

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

LicenseStateTypeSpecialty
PD12344ARMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373414400000",
    "number": "1972944627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 PLEASANT RIDGE RD",
            "address_2": "APT 214",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232399",
            "telephone_number": "217-390-2826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 PLEASANT RIDGE RD",
            "address_2": "APT 214",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722232399",
            "telephone_number": "217-390-2826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YICK",
        "first_name": "SERGE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD12344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.