Mary Jane Hildebrand, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202208139 Issued in VA

Practice address

1942 Port Republic Rd
Rockingham, VA 22801-3532

Phone

(540) 282-6950

NPI assigned

Mar 27, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Rockingham, VA
  • NPI 1285098319
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1447378153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 OHIO AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228011834",
            "telephone_number": "540-209-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 PORT REPUBLIC RD",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228013532",
            "telephone_number": "540-282-6950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDEBRAND",
        "first_name": "MARY",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202208139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mjh00c0.s07177.us@wal-mart.com",
            "affiliation": "Y",
            "endpointDescription": "Employer",
            "affiliationName": "Walmart Neighborhood Market",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1942 Port Republic Rd",
            "city": "Rockingham",
            "state": "VA",
            "country_code": "US",
            "postal_code": "228013532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vanessa Heatwole, RDN, CDE
• Abigail F Heller, 00030 - OTR/L
• Jessana Madelyn Hendricks, PA-C
• Laura Soraya Hernandez-Dauer, DMD
• Darin Christopher Hevener, PA-C
• Zsofia V Hole, MD
• Magdalena S Holz, D.D.S.
• Kristin Hom, D.O.
• Deonte Javon Hope, PA
• Daniil Pavlovich Hrynko, PHARMD

• Pharmacist in Rockingham, VA
• Providers in Rockingham, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; 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.