Active NPI
Hilliard Mire Jr.
- Pharmacist
- Raceland, LA
National Provider Identifier
1265841464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10570
- Practice address
- 4858 Highway 1
Raceland, LA 70394-2627 - Phone
- (985) 532-5527
- NPI assigned
- Aug 13, 2014
- Last updated
- Aug 13, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10570 | LA | Primary |
Addresses
Primary practice location
4858 Highway 1
Raceland, LA 70394-2627
Mailing address
4858 Highway 1
Raceland, LA 70394-2627
Phone (985) 532-5527
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10570 | LA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407888000000",
"number": "1265841464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4858 HIGHWAY 1",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942627",
"telephone_number": "985-532-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4858 HIGHWAY 1",
"city": "RACELAND",
"state": "LA",
"postal_code": "703942627",
"telephone_number": "985-532-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIRE",
"first_name": "HILLIARD",
"name_suffix": "Jr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-13",
"last_updated": "2014-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "LA",
"license": "10570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raceland, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.