NPIMap

Organization Active NPI

Hillcrest Atrium Pharmacy, Inc

  • Pharmacy
  • Mayfield HTS, OH
National Provider Identifier
1265436661
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
02889300 Issued in OH
Legal business name
HILLCREST ATRIUM PHARMACY, INC
Practice address
6770 Mayfield Rd
Mayfield HTS, OH 44124-2299
Phone
(440) 605-1611
Fax
(440) 605-1622
NPI assigned
Jun 13, 2005
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Warren David Friedman, RPHNPI 1073594792
Title
President
Phone
(440) 605-1611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 02889300 OH Primary

Addresses

Primary practice location

6770 Mayfield Rd
Mayfield HTS, OH 44124-2299

Mailing address

6770 Mayfield Rd
Mayfield HTS, OH 44124-2299
Phone (440) 605-1611

Other identifiers 2

IdentifierTypeStateIssuer
0205281MedicaidOH
3661938OtherOHNCPOP NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1265436661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-605-1611",
            "fax_number": "440-605-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6770 MAYFIELD RD",
            "city": "MAYFIELD HTS",
            "state": "OH",
            "postal_code": "441242299",
            "telephone_number": "440-605-1611",
            "fax_number": "440-605-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST ATRIUM PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "WARREN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-605-1611",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OH",
            "license": "02889300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0205281",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPOP NUMBER",
            "identifier": "3661938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.