NPIMap

Organization Active NPI

Hillcrest Medical Nursing Institute

  • Long Term Care Pharmacy
  • Knoxville, TN
National Provider Identifier
1184703068
Registry record updated Dec 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
0658 Issued in TN
Legal business name
HILLCREST MEDICAL NURSING INSTITUTE
Doing business as
Hillcrest Pharmacy
Practice address
5325 Beverly Park Cir
Attn: Pharmacy
Knoxville, TN 37918-9253
Phone
(865) 687-1321
Fax
(865) 246-4074
NPI assigned
Nov 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2008

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

Authorized official

Name
Nicole Rosenke, PHARM D
Title
Dir of Phcy
Phone
(865) 687-1321

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X
Institutional Pharmacy 3336I0012X
Long Term Care Pharmacy 3336L0003X 0658 TN Primary

Addresses

Primary practice location

5325 Beverly Park Cir
Attn: Pharmacy
Knoxville, TN 37918-9253

Mailing address

5325 Beverly Park Cir
Attn: Pharmacy
Knoxville, TN 37918-9253

Other identifiers 2

IdentifierTypeStateIssuer
4428365MedicaidTN
4428365OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Hillcrest Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hillcrest Med Nurs Inst7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229990400000",
    "number": "1184703068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 BEVERLY PARK CIR",
            "address_2": "ATTN: PHARMACY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379189253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 BEVERLY PARK CIR",
            "address_2": "ATTN: PHARMACY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379189253",
            "telephone_number": "865-687-1321",
            "fax_number": "865-246-4074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST MEDICAL NURSING INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-12-23",
        "status": "A",
        "authorized_official_last_name": "ROSENKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIR OF PHCY",
        "authorized_official_telephone_number": "865-687-1321",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TN",
            "license": "0658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4428365",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4428365",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; 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.