CHARLES HICKSON (NPI# 1700118270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700118270 |
| Entity Type | Individual |
| Full Name | CHARLES HICKSON |
| Credential | RPH |
| Practice Address |
450 Lakeville Rd New Hyde Park NY 11042-1117 |
| Practice Telephone | 5167348928 |
| Mailing Telephone | 5167348928 |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
026647 | NY | Pharmacy Service Providers |
| Street Address |
450 LAKEVILLE RD |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851394936 | Simon J Hall | Specialist | 450 Lakeville Rd, Suite M41, New Hyde Park, NY 11042-1118 | 2005-05-23 |
| 1982205720 | Carly Rose Kuzma | Pharmacist | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2020-11-06 |
| 1861092785 | Nicole Wengrofsky | Genetic Counselor, MS | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2020-10-29 |
| 1730790791 | Shawna Moscowitz | Nurse Practitioner | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2020-08-13 |
| 1932727138 | Naomi Leah Horowitz | Genetic Counselor, MS | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2020-07-14 |
| 1629696828 | Pankti Priyen Doshi | Genetic Counselor, MS | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2020-07-14 |
| 1235764085 | Clary Evans | Radiology | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2020-03-11 |
| 1164068300 | Anna Gribovskaya Smith | Nurse Practitioner | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2019-11-22 |
| 1760945836 | Luke Griffiths | Student in an Organized Health Care Education/Training Program | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2019-04-07 |
| 1235619164 | Christiana I Eze | Nurse Practitioner | 450 Lakeville Rd, New Hyde Park, NY 11042-1118 | 2018-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114306628 | Sarah Mark | Pharmacist | 1999 Marcus Ave Ste 116, New Hyde Park, NY 11042-1028 | 2015-05-29 |
| 1891092987 | Paul P Kao | Pharmacist | 27005 76th Ave, New Hyde Park, NY 11040-1402 | 2011-02-25 |
| 1417289059 | Anthony Alfred Negri | Pharmacist | 450 Lakeville Rd, Monter Cancer Center Phamracy, New Hyde Park, NY 11042-1117 | 2010-02-08 |
| 1720310378 | Mohammad A Harun | Pharmacist | 1111 Marcus Ave, New Hyde Park, NY 11042-1034 | 2010-02-08 |
| 1588996128 | Avelina Monzon | Pharmacist | 1111 Marcus Ave, Monter Cancer Center, New Hyde Park, NY 11042-1034 | 2010-02-08 |
| 1699929745 | Kazi Abdul Hameed | Pharmacist | 450 Lakeville Rd, New Hyde Park, NY 11042-1117 | 2008-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447865670 | Scott Freeswick | Pharmacist | 1275 York Ave # H313, New York, NY 10065-6007 | 2020-09-14 |
| 1932718343 | Eric Boateng | Pharmacist | 1650 Grand Concourse Bsmt Pharmacy, Bronx, NY 10457-7606 | 2020-07-31 |
| 1740803873 | Robert Lewis | Pharmacist | 545 E 73rd St, New York, NY 10021-4003 | 2020-05-23 |
| 1467073247 | Deborah Lilly | Pharmacist | 5 Lilac Pl, Thornwood, NY 10594-2102 | 2020-05-02 |
| 1831757772 | Terry Kheng Pak | Pharmacist | 1275 York Ave Ste 712, New York, NY 10065-6007 | 2019-06-05 |
| 1598270639 | Jennifer Robin Gruber | Pharmacist | 640 Ellicott St Ste 301, Buffalo, NY 14203-1245 | 2017-12-12 |
| 1427504000 | Carmen Lau | Pharmacist | 1275 York Avenue Schwartz-710, New York, NY 10065 | 2016-09-01 |
| 1316336001 | Alison A Tomasulo | Pharmacist | 903 Helen Ct, North Bellmore, NY 11710-1029 | 2015-01-18 |
| 1750705786 | Joshua Pecoraro | Pharmacist | 1275 York Ave S-714, New York, NY 10065 | 2014-02-11 |
| 1740621341 | Kefei Dai | Pharmacist | 1275 York Ave Bldg S-710, New York, NY 10065-6007 | 2013-07-11 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
Please comment or provide details below to improve the information on CHARLES HICKSON.
| 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.