Individual provider · Type 1 NPI

Jon Cris Hickerson

Pharmacist · Edmond, OK

NPI number 1275409674 Active

Practice location

2217 S Fretz Ave Ste 120
Edmond, OK 73013-3851

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000XR-19255 (OK)

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…

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About NPI 1275409674

Jon Cris Hickerson's National Provider Identifier is 1275409674, issued on Oct 13, 2025. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Edmond, OK. The record was last updated on Oct 13, 2025.