HILLCREST DRUG STORE INC (NPI# 1902811557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902811557 |
| Entity Type | Organization |
| Organization Name | HILLCREST DRUG STORE INC |
| Other Organization Name | HILLCREST DRUG STORE |
| Practice Address |
714 W Market St Ste 103 Johnson City TN 37604-5483 |
| Practice Telephone | 4239266231 |
| Practice Fax Number | 4239260084 |
| Mailing Telephone | 4239266231 |
| Mailing Fax Number | 4239260084 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2016-12-22 |
| Authorized Official Name | DOUG AUSTIN (PIC) |
| Authorized Official Telephone | 4239260084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
0477 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3551938 | 05 | |
| PK | 2095599 | 01 |
| Other Name | Type Code |
|---|---|
| HILLCREST DRUG STORE | Doing Business As Name - Organization |
| Street Address |
714 W MARKET ST STE 103 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37604-5483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560707 | Brant Logan Nickens | Physical Therapist | 809 Lamont St and Veterans Way, Johnson City, TN 37604 | 2020-08-26 |
| 1952911562 | David Sandlin Hobbs | Pharmacist | Lamont St &, Veterans Way, Johnson City, Tn 37604, Johnson City, TN 37604 | 2020-08-07 |
| 1528688272 | Whitney Marie Ward | Physical Therapist | Lamont Street and Veterans Way, Johnson City, TN 37604 | 2020-04-23 |
| 1861050015 | Akesh Thomas | Student in an Organized Health Care Education/Training Program | Johnson City Medical Center, 400 N State of Franklin Rd, Johnson City, TN 37604 | 2019-06-03 |
| 1336629021 | Medical Education Assistance Corporation | Clinic/Center | 820 W Market St, Johnson City, TN 37604 | 2018-08-21 |
| 1093208951 | Lauren Tiffany Hayden | Physician Assistant | 403 N State of Franklin Rd Woodridge Hospital, Johnson City, TN 37604 | 2018-06-14 |
| 1174014450 | Jerica Moore | Specialist/Technologist | 1041 Hamiltion Place Dr., Johnson City, TN 37604 | 2018-05-23 |
| 1053809442 | Syed Ghazanfar Hasan | Student in an Organized Health Care Education/Training Program | Etsu Psychiatry and Behavioral Sciences Department, 1276 Gilbreath Dr., Johnson City, TN 37604 | 2018-05-01 |
| 1699262485 | Sonia Kumari Oad | Student in an Organized Health Care Education/Training Program | 178 West Maple St, Johnson City, TN 37604 | 2018-04-17 |
| 1821519364 | Mahmoud El Iskandarani | Internal Medicine | 1084 W Oakland Avenue, 748, Johnson City, TN 37604 | 2017-07-06 |
| Find all providers in zip 37604 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1376193631 | Propharmacy. Inc. | Pharmacy | 525 N State of Franklin Rd Ste 12, Johnson City, TN 37604-8213 | 2019-09-18 |
| 1720427180 | Ingles Markets Inc | Pharmacy | 4470 N. Roan St, Johnson City, TN 37604 | 2013-06-19 |
| 1043318686 | Cvs Albany LLC | Pharmacy | 245 269 Harry L Drive, Johnson City, NY 13790 | 2006-09-20 |
| 1144323643 | Tennessee Cvs Pharmacy LLC | Pharmacy | 4209 N Roan St, Johnson City, TN 37601-1114 | 2006-09-07 |
| 1780787499 | Tennessee Cvs Pharmacy LLC | Pharmacy | 840 W Market St, Johnson City, TN 37604-5454 | 2006-09-07 |
| 1760585467 | Tennessee Cvs Pharmacy LLC | Pharmacy | 1940 South Roan St, Johnson City, TN 37601 | 2006-09-07 |
| 1174178982 | Roan Drug Company LLC | Pharmacy | 1301 N Roan St, Johnson City, TN 37601-3941 | 2019-08-08 |
| 1164901898 | National Rx Inc | Pharmacy | 880 Boones Station Rd, Johnson City, TN 37615 | 2018-08-13 |
| 1659808970 | R&j Drug Company | Pharmacy | 105 Broyles Dr Ste A, Johnson City, TN 37601-2542 | 2017-05-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37604 |
Please comment or provide details below to improve the information on HILLCREST DRUG STORE INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.