LEONARD RAY HICKMAN III (NPI# 1922346378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922346378 |
| Entity Type | Individual |
| Full Name | LEONARD RAY HICKMAN III |
| Credential | RPH |
| Practice Address |
22530 Us Highway 98 Fairhope AL 36532-8303 |
| Practice Telephone | 2519297359 |
| Practice Fax Number | 2519297364 |
| Mailing Telephone | 2519297359 |
| Mailing Fax Number | 2519297364 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2013-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 25836 | FL | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | 11113 | AL | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | STATE LICENSE | 11113 | 01 |
| FL | STATE LICENSE | 25836 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801424775 | Leonard Brian Hickman | Student in an Organized Health Care Education/Training Program | 101 The City Dr S, Orange, CA 92868-3201 | 2020-03-27 |
| 1699770529 | Leonard A. Hickman | Psychologist | 230 E Day Rd, Ste 160, Mishawaka, IN 46545-3463 | 2005-06-16 |
| Street Address |
22530 US HIGHWAY 98 |
| City | FAIRHOPE |
| State | AL |
| Zip Code | 36532-8303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306184304 | Redonda Smith Britton | Pharmacist | 22530 Us Highway 98, Fairhope, AL 36532-8303 | 2013-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376000729 | Abby Stockman | Marriage & Family Therapist | 372 S. Greeno Road, Fairhope, AL 36532 | 2019-02-21 |
| 1962973990 | Pain Consultants of Alabama | Non-Pharmacy Dispensing Site | 320 North Greeno Rd., Fairhope, AL 36532 | 2018-12-17 |
| 1881182236 | Interface Medical Consulting LLC | Family Medicine | 12141 Cri, Fairhope, AL 36532 | 2018-05-01 |
| 1063937167 | Julia W Stone, LLC | Counselor | 21180 Al State Hwy 181, Suite 2, Fairhope, AL 36532 | 2017-08-09 |
| 1568985349 | Eastern Shore Oral, Facial and Implant Surgery Center, P.C. | Clinic/Center | 24172 4th Street, Fairhope, AL 36532 | 2017-07-24 |
| 1205209509 | Comfort Care Coastal Hospice, LLC | Hospice Care, Community Based | 22502 U.S. Highway 98, Fairhope, AL 36532 | 2015-11-09 |
| 1609248632 | Sabrina Reeves | Physician Assistant | 77 Magnolia Ave, Fairhope, AL 36532 | 2015-10-29 |
| 1386025146 | Laura Lasecki Wimmer | Podiatrist | 23937 Us Highway 98 Ste 1, Fairhope, AL 36532 | 2015-06-17 |
| 1386024719 | Gulf Coast Homecare LLC Dba Firstlight Homecare of Mobile Eastern Shor | In Home Supportive Care | 924 Plantation Blvd., Suite C, Fairhope, AL 36532 | 2015-06-01 |
| 1386021525 | June Lassiter | Nurse Practitioner | 22823 Ecor Rouge Lane, Fairhope, AL 36532 | 2015-04-27 |
| Find all providers in zip 36532 | ||||
| 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 |
|---|---|---|---|---|
| 1770122335 | Lisa Wilson Stanley | Pharmacist | 100 Gilbreath Ave, Fairhope, AL 36532-4998 | 2019-12-31 |
| 1700135639 | Gretchen Goldberg | Pharmacist | 23755 Montrose Woods Dr, Fairhope, AL 36532-6325 | 2012-09-06 |
| 1275803769 | Rebecca A Cunningham | Pharmacist | 209 Tensaw Ave, Fairhope, AL 36532-3222 | 2011-12-30 |
| 1821389925 | Charles Craig Wells | Pharmacist | 101 S Greeno Rd, Fairhope, AL 36532-2019 | 2011-04-22 |
| 1821397399 | Naomi Cockrell Sanders | Pharmacist | 156 Easton Cir, Fairhope, AL 36532-6344 | 2011-03-22 |
| 1700185386 | James William Webb | Pharmacist | 101 Greeno Rd S, Fairhope, AL 36532-2019 | 2011-03-22 |
| 1992002885 | Kimberly R. Zimmerman | Pharmacist | 509 Richmond Cir, Fairhope, AL 36532-3125 | 2011-02-11 |
| 1720195506 | Dave Decker | Pharmacist | 20905 Lowry Dr, Fairhope, AL 36532-4426 | 2006-08-25 |
| 1730147943 | Mark Hardison | Pharmacist | 320 Cumberland Rd, Fairhope, AL 36532-3441 | 2006-05-04 |
| 1770133076 | Sherlyn Daigrepont | Pharmacist | 20489 State Highway 181, Fairhope, AL 36532-4369 | 2019-09-18 |
| Find all providers in FAIRHOPE | ||||
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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.