DESAK G HICKS RPH NPI 1396981312

NPI Information

  • NPI: 1396981312
  • Provider Name: DESAK G HICKS, RPH
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Individual
  • Address: 873 HIGHWAY 84
    COFFEEVILLE, AL
    ZIP 36524
  • Phone: (251) 276-3400

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NPI Details

Desak G Hicks, RPH is a durable medical equipment medical supplies in Coffeeville, AL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. Desak G Hicks, RPH NPI is 1396981312. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

873 HIGHWAY 84
COFFEEVILLE, AL
ZIP 36524-012
Phone: (251) 276-3400
Fax: (251) 276-3562

The enumeration date for this NPI number is 12/22/2008 and was last updated on 3/21/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist11671ALABAMANo
23336C0003XPharmacyCommunity/Retail Pharmacy113345ALABAMANo
3332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10949140001MEDICARE NSC
2009501290MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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