Organization Active NPI

Hilton Pharmacy LLC

  • Community/Retail Pharmacy
  • Marysville, WA
National Provider Identifier
1174651434
Registry record updated Nov 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
CF00002373 Issued in WA
Legal business name
HILTON PHARMACY LLC
Practice address
220 State Ave
Marysville, WA 98270-5108
Phone
(360) 659-3222
Fax
(360) 651-7556
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2014

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

Authorized official

Name
Mary Kirkland, RPH
Title
Pharmacist and Owner
Phone
(360) 659-3222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X CF00002373 WA Primary

Addresses

Primary practice location

220 State Ave
Marysville, WA 98270-5108

Mailing address

220 State Ave
Marysville, WA 98270-5108
Phone (360) 659-3222

Other identifiers 2

IdentifierTypeStateIssuer
6008403MedicaidWA
2108246OtherPK

Other names 1

  • HILTON PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

220 State Ave
Marysville, WA 98270
Phone (360) 659-3222

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415836800000",
    "number": "1174651434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705108",
            "telephone_number": "360-659-3222",
            "fax_number": "360-651-7556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 STATE AVE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982705108",
            "telephone_number": "360-659-3222",
            "fax_number": "360-651-7556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-11-13",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PHARMACIST AND OWNER",
        "authorized_official_telephone_number": "360-659-3222",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "CF00002373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6008403",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2108246",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILTON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.