MR. JON GARY HICKS (NPI# 1306017595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306017595 |
| Entity Type | Individual |
| Full Name | MR. JON GARY HICKS |
| Credential | PHARMACY TECHNICIAN |
| Practice Address |
146 Three Sons Dr Birmingham AL 35226-2961 |
| Practice Telephone | 2058249086 |
| Mailing Telephone | 2058249086 |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | T02361 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | PTCB | 3201-0105-0766-335 | 01 |
| Street Address |
146 THREE SONS DR |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35226-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528618287 | Celena Kemp | Counselor | 500 Southland Drive, Suite 204, Hoover, AL 35226 | 2019-09-16 |
| 1124674916 | Donna Mcgrath Drouin | Technician | 720 Preserve Way, Hoover, AL 35226 | 2019-08-16 |
| 1932619780 | Lyndsey W Baxley | Occupational Therapist | 700 Century Park South, Suite 128, Birmingham, AL 35226 | 2017-10-06 |
| 1093182628 | Julie Strange | Specialist/Technologist | 1778 Cornwall Road, Hoover, AL 35226 | 2015-08-31 |
| 1063836765 | Mohamed Hassan | Emergency Medicine | 5569 Grove Blvd, Hoover, AL 35226 | 2014-02-15 |
| 1598105298 | Sarah Quinney | Nurse Practitioner | 2117 White Way, Birmingham, AL 35226 | 2013-06-27 |
| 1588003388 | Asia Julia Gorg | Counselor | 5414 Colony Way, Hoover, AL 35226 | 2013-06-14 |
| 1962780197 | Sudeep Raj Aryal | Internal Medicine | 990 Tyler Crest Ln, Hoover, AL 35226 | 2011-07-21 |
| 1043504483 | Rachel Lee Campbell | Behavioral Analyst | 3002 Asbury Park Place, Vestavia Hills, AL 35226 | 2011-06-02 |
| 1538489190 | Madhav V Devani | Internal Medicine | 3635 Market St Ste A, Birmingham, AL 35226 | 2010-06-07 |
| Find all providers in zip 35226 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871670497 | Roy Nolen Attison | Pharmacy Technician | 1532 Huffman Rd, Birmingham, AL 35215-5621 | 2006-11-01 |
| 1992357099 | Tanya Murray | Pharmacy Technician | 700 19th St S, Birmingham, AL 35233-1927 | 2019-07-10 |
| 1790344463 | Ebony Daniels | Pharmacy Technician | 1916 Center Point Pkwy, Birmingham, AL 35215-4512 | 2019-06-06 |
| 1548605298 | Elvis Esemu Mboya | Pharmacy Technician | Mcwhorter School of Pharmacy, 800 Lakeshore Dr. Homewood, Birmingham, AL 35229-0001 | 2013-05-08 |
| 1033375035 | Andrew C Woods Jr. | Pharmacy Technician | 700 19th St S, Birmingham, AL 35233-1927 | 2008-07-30 |
| 1275605883 | Susan Annette Trammell | Pharmacy Technician | 1532 Huffman Rd, Birmingham, AL 35215-5621 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316566854 | Beau Harrison | Pharmacy Technician | 35670 County Road 8, Florence, AL 35634-4332 | 2020-04-14 |
| 1972090918 | Nonna D Tindal | Pharmacy Technician | 2910 Morgan Rd Ste 1282910, Bessemer, AL 35022-6484 | 2018-04-16 |
| 1083141204 | Kristen House Mayes | Pharmacy Technician | 121 N 20th St Ste 1, Opelika, AL 36801-5454 | 2017-05-18 |
| 1295170199 | Danielle Alexander | Pharmacy Technician | 3153 Pinecreek Loop, Bessemer, AL 35022-4975 | 2013-05-06 |
| 1043556194 | Sarah Joubert | Pharmacy Technician | 501 Taylor Oaks Cir Apt 307, Montgomery, AL 36116-8552 | 2012-12-18 |
| 1033308911 | Gary Allan Honeycutt II | Pharmacy Technician | 622 Broad St, Gadsden, AL 35901-3722 | 2007-10-17 |
| 1679784409 | Justin Rome Simmons | Pharmacy Technician | 8001 Tabor Rd, Gadsden, AL 35904-6526 | 2007-05-24 |
| 1548314206 | Cynthia Faye Warren | Pharmacy Technician | 2300 County Road 129, Waterloo, AL 35677-3656 | 2007-01-22 |
| 1134297120 | Randy Ward Davidson | Pharmacy Technician | 61 River Rd, Mcintosh, AL 36553-0247 | 2006-11-30 |
| 1851479109 | Sally Jane Owens | Pharmacy Technician | 5350 Atlanta Hwy # C, Montgomery, AL 36109-3324 | 2006-11-02 |
| Find all providers with the same taxonomy | ||||
| City | BIRMINGHAM |
| Zip Code | 35226 |
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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.