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Active NPI 1750987160 Individual Practitioner Female Practitioner

Dr. Alisha Nicks , PharmD

Pharmacist • Jackson, MS

Professional Overview & Biography Verified Profile Summary

Dr. Alisha Nicks, PharmD is a registered healthcare professional specializing in Pharmacist in Jackson, MS. Practice services are available at 1500 E WOODROW WILSON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1500 E Woodrow Wilson Ave

Jackson, MS 392165116

Telephone 6013641309
Associated Practice Facility / Clinic
🏢 Jackson Vamc Facility NPI 1932167756

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Jackson, MS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
227 Specialists

Practicing in Jackson, MS (2321 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-12-10
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License MS E-16609

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Donna Bingham , PharmD

Pharmacist - Pharmacotherapy

NPI 1437175213

Doctor of Pharmacy (Pharm.D.)

NPI 1922207620

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 10, 2020

Registered at 1500 E WOODROW WILSON AVE, JACKSON, MS 392165116 (Tel: 6013641309)

📍
Updated Business Mailing Address December 10, 2020

Registered at 2514 CONCORD BLVD, BRANDON, MS 390478537 (Tel: 9018712526)

👤
Provider Name / Credentials Updated December 10, 2020

Recorded as ALISHA NICKS, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2020

Pharmacist (License #E-16609 in MS)

🟢
Initial NPI Registration & Enumeration December 10, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750987160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2020
Last Update: December 10, 2020
Sole Proprietor: No

Mailing Address

2514 Concord Blvd

Brandon, MS 390478537

Phone: 9018712526

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.