Stacey Noel Hilliard, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS50967 Issued in FL

Practice address

15880 San Carlos Blvd
T2363
Fort Myers, FL 33908-3383

Phone

(239) 265-9003

NPI assigned

Aug 12, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376265600000",
    "number": "1447683677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15880 SAN CARLOS BLVD",
            "address_2": "T2363",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083383",
            "telephone_number": "239-265-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15880 SAN CARLOS BLVD",
            "address_2": "T2363",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339083383",
            "telephone_number": "239-265-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILLIARD",
        "first_name": "STACEY",
        "middle_name": "NOEL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-12",
        "last_updated": "2013-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS50967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ron Tillitzky Hill, DMD
• Sarah Elizabeth Hill, PA
• Thomas Steven Hill, MA, CAP
• Valeria Hill
• Theresa Dawn Hilley Vensel, M.D.
• Jessica Himalstein
• Michelle Elisa Himalstein
• Leeann Sudano Hinds, AUD.
• Martha J Hinds, LPN
• Catherine Hines

• Pharmacist in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.