Hibbett Patient Care

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

113459 Issued in AL

Legal business name

HIBBETT PATIENT CARE

Doing business as

Hibbett Patient Care, LLC

Practice address

220 W Tennessee St Ste 1
Florence, AL 35630-5438

Phone

(256) 764-4675

Fax

(256) 764-4674

NPI assigned

Dec 6, 2010

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kneeland Hibbett

Title

Managing Partner

Phone

(256) 764-4675

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Hibbett Patient Care, LLC Doing business as

Locations

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1457654907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W TENNESSEE ST STE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305438",
            "telephone_number": "256-764-4675",
            "fax_number": "256-764-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W TENNESSEE ST STE 1",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305438",
            "telephone_number": "256-764-4675",
            "fax_number": "256-764-4674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIBBETT PATIENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "HIBBETT",
        "authorized_official_first_name": "KNEELAND",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "256-764-4675"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "AL",
            "license": "113459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2127903",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hibbett Patient Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anthony Michael Hester
• Claude Hester
• Gabriel Hamilton Hester, M.D.
• Gary L Hester, MD
• Jillian Nanette Hester, FNP-C
• Barry Kenneth Hibbett Jr., DMD
• Caitlin Hibbett, CRNP
• Hickory Hills Dental Care LLC
• Dorothy E Hicks, PA
• Sydney Hicks, RN

• Compounding Pharmacy in Florence, AL
• Providers in Florence, AL by specialty
• Compounding Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.