SHAMITA Y HICKS (NPI# 1033699459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033699459 |
| Entity Type | Individual |
| Full Name | SHAMITA Y HICKS |
| Credential | PHARMD |
| Practice Address |
1817 Martin Luther King Pkwy Durham NC 27707 |
| Mailing Address |
1817 Martin Luther King Pkwy Durham NC 27707-3585 |
| Practice Telephone | 9194021917 |
| Mailing Telephone | 9194021917 |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-09-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
27842 | NC | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 104 Chipaway Dr, Greenville, NC 278589707 | 2529174315 | |
| 1817 Martin Luther King Pkwy, Durham, NC 27707 | 9194021917 |
| Street Address |
1817 MARTIN LUTHER KING PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720371339 | Dawn Renee Mccormack | Pharmacist | 1817 Martin Luther King Pkwy, Durham, NC 27707-3585 | 2011-05-16 |
| 1083137392 | Kathryn Laura Gouzoules Campbell | Pharmacist | 1817 Martin Luther King Pkwy, Durham, NC 27707 | 2017-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785928 | Ceara Smith | Social Worker | 1415 W Nc 54 Buidling 200, Suite 111, Durham, NC 27707 | 2020-06-22 |
| 1114554094 | Lauren Michelle Grosse | Physician Assistant | Fastmed Urgent Care 7010 Nc-751, Durham, NC 27707 | 2020-03-23 |
| 1386289635 | Ashley Bailey | Counselor | 1801 Fayetteville Street, Durham, NC 27707 | 2019-11-11 |
| 1881249886 | Erin Ramona Leger | Physical Therapist | 3706 Mayfair St, Ste 120, Durham, NC 27707 | 2019-08-06 |
| 1417417262 | Carmen Elisabeth Sanchez | Psychologist | 3326 Durham Chapel Hill Blvd Bldg D, Durham, NC 27707 | 2019-03-20 |
| 1477026144 | Pope Behavioral Health and Wellness | Counselor | 5102 Chapel Hill Durham Blvd., Suite 101, Durham, NC 27707 | 2019-01-06 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1780152827 | Cassandra Gerwig Shaw | Registered Nurse | 5324 Mcfarland Dr Ste 310, Durham, NC 27707 | 2018-11-07 |
| 1942776232 | Lisa J Keskitalo | Physical Therapist | 3708 Mayfair St Ste 120, Durham, NC 27707 | 2018-10-15 |
| Find all providers in zip 27707 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366913030 | Chi Hornik | Pharmacist | Duke Children's Hospital Erwin Road, Durham, NC 27710-0001 | 2018-12-06 |
| 1235645961 | Donna Lynn Topping | Pharmacist | 20 Duke Medicine Cir # 2-2, Durham, NC 27710-2000 | 2017-12-18 |
| 1679964985 | Kimberly Hodulik | Pharmacist | Dumc 3089, Durham, NC 27710-0001 | 2015-02-09 |
| 1356732671 | Sally Mccollum | Pharmacist | Duke University Health Systems, Dumc 3089, Erwin Road, Durham, NC 27710-0001 | 2015-02-09 |
| 1710248372 | Lauren Kay Samford | Pharmacist | 5316 Highgate Dr Ste 125, Durham, NC 27713-6629 | 2012-05-30 |
| 1942807722 | Brock Richardson | Pharmacist | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2020-10-05 |
| 1316437379 | Stephanie Nichelle Shore | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2018-05-15 |
| 1245746924 | Alicia Hairston | Pharmacist | 2301 Erwin Rd, Durham, NC 27705-4699 | 2017-12-18 |
| 1427563832 | Randy Lee Seys | Pharmacist | 508 Fulton St, Durham, NC 27705-3875 | 2017-12-07 |
| 1477079887 | Jenelle M Hall | Pharmacist | 40 Duke Medicine Cir, Durham, NC 27710-4000 | 2017-08-17 |
| Find all providers in DURHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.