Hill Derm Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HILL DERM PHARMACY, INC

Practice address

3065 S. Mellonville Ave Ste B
Sanford, FL 32773

Phone

(407) 585-6060

Fax

(407) 585-6065

NPI assigned

Mar 27, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jerry S Roth

Title

President

Phone

(407) 323-1887

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553644800000",
    "number": "1093276537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 S MELLONVILLE AVE",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327739311",
            "telephone_number": "407-323-1887",
            "fax_number": "407-649-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 S. MELLONVILLE AVE STE B",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "32773",
            "telephone_number": "407-585-6060",
            "fax_number": "407-585-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL DERM PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "407-323-1887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Hernandez
• Miley Christine Hernandez
• Stephanie Hernandez
• Daniel S Herrington
• Chelsea Anne Hester, LMHC
• Celena Maria Hill
• Diamond Hill
• Patrick Hill, LMHC
• Shayla Janay Hillsman
• James Edward Hirsch, D.C.

• Community/Retail Pharmacy in Sanford, FL
• Providers in Sanford, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.