Individual provider Active NPI

Angela Northrop Hise, RPH

  • Pharmacist
  • San Antonio, TX
National Provider Identifier
1124652326
Registry record updated Feb 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03-3-20166 Issued in OH
Practice address
25842 Raven RDG
San Antonio, TX 78255-2379
Phone
(614) 560-4687
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03-3-20166 OH Primary

Addresses

Primary practice location

25842 Raven RDG
San Antonio, TX 78255-2379

Mailing address

25842 Raven RDG
San Antonio, TX 78255-2379
Phone (614) 560-4687

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1124652326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25842 RAVEN RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552379",
            "telephone_number": "614-560-4687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25842 RAVEN RDG",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782552379",
            "telephone_number": "614-560-4687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISE",
        "first_name": "ANGELA",
        "middle_name": "NORTHROP",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03-3-20166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.