Active NPI
Hilton Pharmacy LLC
- Community/Retail Pharmacy
- Marysville, WA
National Provider Identifier
1174651434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- CF00002373
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6008403 | Medicaid | WA | |
| 2108246 | Other | PK |
Other names 1
- HILTON PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.