Hillcrest Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

802975922 Issued in TX

Legal business name

HILLCREST PHARMACY, LLC

Practice address

3065 N Josey LN Ste 60
Carrollton, TX 75007-5348

Phone

(972) 394-4456

Fax

(972) 394-4457

NPI assigned

Apr 19, 2018

Last updated

Feb 23, 2019By 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

Mr. Joe Penn Jr.

Title

Managing Member/Ceo

Phone

(972) 394-4456

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550880000000",
    "number": "1457848004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 FM 407 E STE 145-103",
            "city": "BARTONVILLE",
            "state": "TX",
            "postal_code": "762267012",
            "telephone_number": "225-937-4716",
            "fax_number": "972-767-3134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 N JOSEY LN STE 60",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750075348",
            "telephone_number": "972-394-4456",
            "fax_number": "972-394-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-19",
        "last_updated": "2019-02-23",
        "status": "A",
        "authorized_official_last_name": "PENN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "MANAGING MEMBER/CEO",
        "authorized_official_telephone_number": "972-394-4456",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "802975922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• HHK Smile Corporation (Blu Dental)
• Hibiscus Dental PLLC
• Jeffrey Lee Hicken, D.C.
• Wendy Hider
• Erinn Elizabeth Hill
• Hillpoint Homecare Inc
• Hillside Alliance, LLC (TotalCare Carrollton)
• Karen Hines, MPT
• Jason Matthew Hirst, PHD, BCBA-D, LBA
• His Edge LLC

• Community/Retail Pharmacy in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2019; 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.