Killian Hill RX LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KILLIAN HILL RX LLC

Practice address

1098 Bermuda Run Ste 5
Statesboro, GA 30458-0878

Phone

(678) 933-8965

NPI assigned

Aug 19, 2021

Organization subpart

No

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

Authorized official

Name

Beau Martinez, PHARMACIST

Title

Pharmacist in Charge

Phone

(714) 929-9763

Specialties & licenses 3

Addresses

Other names 1

• KILLIAN HILL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1316613334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 WENTWORTH DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971609",
            "telephone_number": "678-933-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1098 BERMUDA RUN STE 5",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580878",
            "telephone_number": "678-933-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILLIAN HILL RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "BEAU",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "714-929-9763",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KILLIAN HILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KILLIAN HILL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katherine Elizabeth Key
• Mbill Shadman Khan
• Les J. Kicklighter, D.M.D.
• Kidz Therapies of Statesboro
• Noah Thomas Kilday, DC
• Taylor Kimbrell
• John Edward Kimes, PT
• Kinetic Healing
• Destiny Brooks King, MS, LPC,
• Thomas King, PHARMD

• Community/Retail Pharmacy in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.