Individual provider Active NPI

Bernard Hill, PHARMD

  • Pharmacist
  • Jackson, MS
National Provider Identifier
1093317778
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E13993 Issued in MS
Practice address
2711 Greenway Dr
Jackson, MS 39204-3304
Phone
(601) 922-2876
NPI assigned
Nov 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X E13993 MS Primary
Pharmacist 183500000X 72329 TX
Pharmacist 183500000X PST.021270 LA

Addresses

Primary practice location

2711 Greenway Dr
Jackson, MS 39204-3304

Mailing address

211 First Colony Blvd
Madison, MS 39110-6077
Phone (504) 473-8772

Other practice location 1

2165 Northpark Dr
Kingwood, TX 77339
Phone (281) 358-5650

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PST.021270LAMDPharmacist
E13993MSMDPharmacist
72329TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Wal-Mart Stores Texas LLC Past Accepting new patients
Wal-Mart Stores Texas, LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1093317778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FIRST COLONY BLVD",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106077",
            "telephone_number": "504-473-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 GREENWAY DR",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392043304",
            "telephone_number": "601-922-2876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 Northpark Dr",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "77339",
            "country_code": "US",
            "telephone_number": "281-358-5650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-09",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E13993",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "72329",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "PST.021270",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2024; 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.