Organization Active NPI

Hillsborough Pharmacy & Nutrition

  • Pharmacy
  • Hillsborough, NC
National Provider Identifier
1316232416
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
11064 Issued in NC
Legal business name
HILLSBOROUGH PHARMACY & NUTRITION
Doing business as
Hillsborough Pharmacy & Nutrition
Practice address
110 Boone Square St Ste 29
Hillsborough, NC 27278-2665
Phone
(919) 245-1212
Fax
(919) 245-1210
NPI assigned
Jun 16, 2011
Last updated
Apr 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Authorized official

Name
Tiffany Barber, PHARMDNPI 1255625539
Title
Pharmacy Manager/Owner
Phone
(919) 245-1212

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 11064 NC Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

110 Boone Square St Ste 29
Hillsborough, NC 27278-2665

Mailing address

110 Boone Square St Ste 29
Hillsborough, NC 27278-2665
Phone (919) 245-1212

Other identifiers 3

IdentifierTypeStateIssuer
0685587MedicaidNC
2134412OtherPK
7705429MedicaidNC

Other names 1

  • Hillsborough Pharmacy & Nutrition Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120907000483 NC DME Supplier - Pharmacy 7911155478 Practice locations: Hillsborough, NC
O20140218000333 NC Part B Supplier - Mass Immunization (Roster Biller Only) 7911155478 Practice locations: Hillsborough, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2184027Hillsborough Pharmacy and Nutrition110 Boone Square Street #29, Hillsborough, NC 27278Certificate of waiverMay 13, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hillsborough Pharmacy&Nutrition110 Boone Square St 29, Hillsborough, NC 27278-2665(919) 245-1212 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Does not accept assignmentParticipating since Jul 16, 2012

National Provider Directory

National Provider Directory

Locations

100 Boone SQ St
Ste 29
Hillsborough, NC 27278
Phone (919) 245-1212

100 Boone SQ St
Ste 29
Hillsborough, NC 27278
Phone (919) 245-1212

110 Boone Square St
Ste 29
Hillsborough, NC 27278
Phone (919) 245-1212

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": "1308182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491868800000",
    "number": "1316232416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BOONE SQUARE ST STE 29",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782665",
            "telephone_number": "919-245-1212",
            "fax_number": "919-245-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BOONE SQUARE ST STE 29",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "272782665",
            "telephone_number": "919-245-1212",
            "fax_number": "919-245-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH PHARMACY & NUTRITION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-16",
        "last_updated": "2017-04-11",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "PHARMACY MANAGER/OWNER",
        "authorized_official_telephone_number": "919-245-1212",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NC",
            "license": "11064",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0685587",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134412",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7705429",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillsborough Pharmacy & Nutrition",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.