MATTHEW HICKSON
NPI 1417824038
Pharmacist in Grand Rapids, MI

Active since October 20, 2025
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(616) 391-1774 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Hickson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW HICKSON (NPI 1417824038) is an individual pharmacist in Grand Rapids, Michigan, licensed in Michigan (5302417651) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1417824038
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMATTHEW HICKSON
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address8731 Flat Creek Dr Unit KRockford, MI 49341-8945 · (231) 629-9816
Sole ProprietorNo
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1417824038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in MI · 5302417651
Definition
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.
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Hickson's NPI number?

The NPI number for Matthew Hickson is 1417824038. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Matthew Hickson located?

Matthew Hickson practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 391-1774.

What is Matthew Hickson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Matthew Hickson was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.