Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1275409674 Individual Practitioner Male Practitioner

Jon Cris Hickerson

Pharmacist • Edmond, OK

Professional Overview & Biography Verified Profile Summary

Jon Hickerson is a registered healthcare professional specializing in Pharmacist in Edmond, OK. Practice services are available at 2217 S FRETZ AVE STE 120 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2217 S Fretz Ave Ste 120

Edmond, OK 730133851

Telephone 4055518216
Associated Practice Facility / Clinic
🏢 Qualgen, Llc Facility NPI 1669125829

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Edmond, OK

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

Practicing in Edmond, OK (3455 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: 2025-10-13
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OK R-19255

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 13, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2025

Registered at 2217 S FRETZ AVE STE 120, EDMOND, OK 730133851 (Tel: 4055518216)

📍
Updated Business Mailing Address October 13, 2025

Registered at 2217 S FRETZ AVE STE 120, EDMOND, OK 730133851 (Tel: 4055518216)

👤
Provider Name / Credentials Updated October 13, 2025

Recorded as JON HICKERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2025

Pharmacist (License #R-19255 in OK)

🟢
Initial NPI Registration & Enumeration October 13, 2025

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: 1275409674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 13, 2025
Last Update: October 13, 2025
Sole Proprietor: No

Mailing Address

2217 S Fretz Ave Ste 120

Edmond, OK 730133851

Phone: 4055518216

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.