DR. JEREMIAH HICKS (NPI# 1548882889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548882889 |
| Entity Type | Individual |
| Full Name | DR. JEREMIAH HICKS |
| Credential | PHARM D |
| Practice Address |
4309 Connecticut Ave Nw Washington DC 20008-2305 |
| Mailing Address |
2304 Lakewood St Suitland MD 20746-1419 |
| Practice Telephone | 2029663023 |
| Practice Fax Number | 2023641202 |
| Mailing Telephone | 3023994259 |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2020-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PH100001943 | DC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477890382 | Jeremiah Wayne Hicks | Social Worker | 1993 Cato Ave, State College, PA 16801-2754 | 2013-01-11 |
| Street Address |
4309 CONNECTICUT AVE NW |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20008-2305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245335074 | District of Columbia Cvs Pharmacy LLC | Pharmacy | 4309 Connecticut Ave Nw, Washington, DC 20008-2305 | 2006-09-14 |
| 1518365634 | Adam M Fanelle | Pharmacist | 4309 Connecticut Ave Nw, Washington, DC 20008-2305 | 2014-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528668233 | Ana Merino | Adult Companion | 2231 Bancroft, Washington, DC 20008 | 2020-10-30 |
| 1497371884 | Shannon A Morning | Technician | 4850 Connecuit Ave Nw, 503, Washington, DC 20008 | 2020-06-22 |
| 1588286876 | Van Ness Pharmacy LLC | Pharmacy | 4215 Connecticut Ave St #1 Nw, Washington, DC 20008 | 2020-05-11 |
| 1013552223 | Adam D Schwartz Dds PC | Dentist | 4545 Connecticut Avenue Nw Suite 419, Washington, DC 20008 | 2019-11-12 |
| 1588205629 | Good Food Nutrition Group, LLC | Dietitian, Registered | 2820 Ordway St Nw, Washington, DC 20008 | 2019-09-30 |
| 1770141921 | Fiona Griffin | Counselor | The Body Image Therapy Center, 2639 Connecticut Ave Nw Suite 251, Washington, DC 20008 | 2019-06-03 |
| 1225513476 | Shelley A Rockwell | Psychologist | 3303 Macamb Street N.w., Washington, DC 20008 | 2018-10-03 |
| 1053899930 | Sublime Kidz, LLC | Occupational Therapist | 4550 Connecticut Ave Nw Apt 307, Washington, DC 20008 | 2018-08-01 |
| 1730699117 | Francesca Marie Pascucci | Behavioral Analyst | 4849 Connecticut Avenue Nw, Apt. #0208, Washington, DC 20008 | 2017-10-11 |
| 1073038808 | Andrea Lauryn Kenoff | Social Worker | 4601 Connecticut Avenue Northwest, Apartment 511, Washington, DC 20008 | 2017-08-14 |
| Find all providers in zip 20008 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941967 | Shahad Abdulaaima | Pharmacist | 1400 7th St Nw, Washington, DC 20001-3387 | 2020-11-01 |
| 1245830587 | Sharon Ann Mowery | Pharmacist | 215 Coachside Dr, Washington, PA 15301-8963 | 2020-10-27 |
| 1568075463 | Brent West | Pharmacist | 19 W Clover Ln, Washington, UT 84780-8208 | 2020-08-28 |
| 1417569344 | Bryan Mark Snapp | Pharmacist | 1220 L St Nw Ste 900, Washington, DC 20005-4018 | 2020-08-21 |
| 1285270504 | Tyika Bassagou | Pharmacist | 1815 Conn Ave Nw, Washington, DC 20009-5702 | 2019-11-21 |
| 1477199818 | Kenneth Walter Stachnik | Pharmacist | 214 Hillman St, Washington, IL 61571-9750 | 2019-11-20 |
| 1528602745 | O'neal Ford Jr. | Pharmacist | 2646 Naylor Rd Se, Washington, DC 20020-7269 | 2019-10-31 |
| 1962053975 | Erica B Shepperd-debnam | Pharmacist | 3700 Newark St Nw, Washington, DC 20016-3036 | 2019-09-23 |
| 1225685928 | Andrew D Wherley | Pharmacist | 7059 Blair Rd Nw Ste 101, Washington, DC 20012-1960 | 2019-08-19 |
| 1114581105 | Gidey Amare | Pharmacist | 441 4th St Nw Ste 900s, Washington, DC 20001-2714 | 2019-04-25 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20008 |
Please comment or provide details below to improve the information on DR. JEREMIAH HICKS.
| 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.