Organization Active NPI

Hill City Pharmacy Inc

  • Community/Retail Pharmacy
  • Lynchburg, VA
National Provider Identifier
1417322843
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004682 Issued in VA
Legal business name
HILL CITY PHARMACY INC
Doing business as
Hill City Pharmacy
Practice address
1215 Greenview Dr
Lynchburg, VA 24502-2705
Phone
(434) 237-2221
Fax
(434) 237-2223
NPI assigned
Dec 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Bryan Moody
Title
President
Phone
(434) 237-2221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201004682 VA Primary

Addresses

Primary practice location

1215 Greenview Dr
Lynchburg, VA 24502-2705

Mailing address

1215 Greenview Dr
Lynchburg, VA 24502-2705
Phone (434) 237-2221

Other identifiers 2

IdentifierTypeStateIssuer
1417322843MedicaidVA
2156178OtherPK

Other names 1

  • Hill City Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181116001866 VA Part B Supplier - Mass Immunization (Roster Biller Only) 7719269786 Practice locations: Lynchburg, VA; Rustburg, VA

National Provider Directory

National Provider Directory

Locations

1215 Greenview Dr
Lynchburg, VA 24502
Phone (434) 237-2221

819 Village Hwy
Rustburg, VA 24588
Phone (434) 608-4040

NPI Registry JSON

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

{
    "created_epoch": "1449705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1417322843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 GREENVIEW DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022705",
            "telephone_number": "434-237-2221",
            "fax_number": "434-237-2223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GREENVIEW DR",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245022705",
            "telephone_number": "434-237-2221",
            "fax_number": "434-237-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-10",
        "last_updated": "2025-09-19",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-237-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417322843",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2156178",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hill City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.