Hillrise Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

HILLRISE PHARMACY LLC

Practice address

4240 N Broad St
Philadelphia, PA 19140-1908

Phone

(215) 403-7300

Fax

(267) 335-3937

NPI assigned

May 14, 2021

Organization subpart

No

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

Authorized official

Name

Omotayo Olufemi BadejokoNPI 1568746428

Title

Pharmacy Manager/Owner

Phone

(215) 403-7300

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HillRise Pharmacy Doing business as

Tax ID family

Hillrise Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Hillrise Pharmacy LLC

  • Community/Retail Pharmacy
  • Philadelphia, PA
  • NPI 1154778983
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Omotayo Olufemi Badejoko

  • Pharmacist
  • Norristown, PA
  • NPI 1568746428
  NPD Authorized official
• Affoue Marie Gomez, RPH

  • Pharmacist
  • Bala Cynwyd, PA
  • NPI 1144919929
  NPD (past)

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

{
    "created_epoch": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620950400000",
    "number": "1104490143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7817 CHELTENHAM AVE",
            "city": "LAVEROCK",
            "state": "PA",
            "postal_code": "190387621",
            "telephone_number": "484-326-1877",
            "fax_number": "267-335-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 N BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191401908",
            "telephone_number": "215-403-7300",
            "fax_number": "267-335-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLRISE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A",
        "authorized_official_last_name": "BADEJOKO",
        "authorized_official_first_name": "OMOTAYO",
        "authorized_official_middle_name": "OLUFEMI",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "215-403-7300"
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103114017",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HillRise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Liza Bette Hillel, CRNP
• Kathleen Frances Hiller, MS, OTRL
• Madeline Joy Hiller
• Thomas J. Hiller, OTR
• Kristin C Hillier
• Hillrise Pharmacy LLC
• Carver A Hills, M.D.
• Jessica L Hills, M.D.
• Hilltop Medical Associates, PC
• Alana Hilsey

• Long Term Care Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Long Term Care Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.