Hickory Hill Pharmacy LTC, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HICKORY HILL PHARMACY LTC, LLC

Practice address

109 Hickory Hills Dr
Helena, AR 72342-2301

Phone

(870) 338-8351

Fax

(870) 714-6125

NPI assigned

Apr 11, 2024

Organization subpart

No

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

Authorized official

Name

Joshua Daniel Proffit, PHARM. D.NPI 1760070239

Title

Owner/Pharmacist

Phone

(870) 338-8351

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua Daniel Proffit

  • Pharmacist
  • Helena, AR
  • NPI 1760070239
  NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1295589828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 HICKORY HILLS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723422301",
            "telephone_number": "870-338-8351",
            "fax_number": "870-714-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 HICKORY HILLS DR",
            "city": "HELENA",
            "state": "AR",
            "postal_code": "723422301",
            "telephone_number": "870-338-8351",
            "fax_number": "870-714-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HICKORY HILL PHARMACY LTC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "PROFFIT",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "870-338-8351",
        "authorized_official_credential": "PHARM. D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Physical Therapy and Sports Medicine, Inc.
• Helena Radiology Inc
• Helena Surgery Associates, PLLC
• Helena-West Helena Schools
• Hickory Hill Medical Inc
• Shanta Hillard
• Whitney W Hirsch, SLP
• Alexandria D Holden
• Douglas P Holmes Jr., CRNA
• Sharon D Holmes

• Community/Retail Pharmacy in Helena, AR
• Providers in Helena, AR by specialty
• Community/Retail Pharmacy in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.