Individual provider Active NPI

Ann M Hils, PHARM.D., BCPS

  • Pharmacotherapy Pharmacist
  • Moberly, MO
National Provider Identifier
1417453812
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacotherapy PharmacistTaxonomy code 1835P1200X
License
3130814 Issued in MO
Practice address
907 N Morley St
Moberly, MO 65270-2610
Phone
(660) 263-4457
Fax
(660) 263-4456
NPI assigned
Apr 4, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 3130814 MO Primary

Addresses

Primary practice location

907 N Morley St
Moberly, MO 65270-2610

Mailing address

907 N Morley St
Moberly, MO 65270-2610
Phone (660) 263-4457

Other practice location 1

325 S. Hudson
Buckner, MO 64016
Phone (816) 650-8288

Other identifiers 7

IdentifierTypeStateIssuer
600018685MedicaidMO
1023568078MedicaidMO
1174929723MedicaidMO
1205357308MedicaidMO
600037573MedicaidMO
1174929723OtherMOCOMMERCIAL INSURANCE
1023568278OtherMOCOMMERCIAL INSURANCE

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
3130814MOMDPharmacotherapy Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hils Pharmacy Salisbury LLC Current Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1417453812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702610",
            "telephone_number": "660-263-4457",
            "fax_number": "660-263-4456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 N MORLEY ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702610",
            "telephone_number": "660-263-4457",
            "fax_number": "660-263-4456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 S. Hudson",
            "address_purpose": "LOCATION",
            "city": "Buckner",
            "state": "MO",
            "postal_code": "64016",
            "country_code": "US",
            "telephone_number": "816-650-8288",
            "fax_number": "816-650-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILS",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "PHARM.D., BCPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "MO",
            "license": "3130814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600018685",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023568078",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174929723",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205357308",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600037573",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1174929723",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INSURANCE",
            "identifier": "1023568278",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moberly, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.