Organization Active NPI

Palos Hills Pharmacy, Inc.

Doing business as Hills Drug Palos

  • Pharmacist
  • Palos Heights, IL
National Provider Identifier
1487752705
Registry record updated Nov 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
054004339 Issued in IL
Legal business name
PALOS HILLS PHARMACY, INC.
Doing business as
Hills Drug Palos
Practice address
7600 W College Dr Ste 1
Palos Heights, IL 60463-1035
Phone
(708) 448-4141
Fax
(708) 448-4343
NPI assigned
Sep 20, 2006
Last updated
Nov 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2024

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

Authorized official

Name
Gia Grace CiprianiNPI 1477265791
Title
President/Owner
Phone
(708) 448-4141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 054004339 IL Primary

Addresses

Primary practice location

7600 W College Dr Ste 1
Palos Heights, IL 60463-1035

Mailing address

7600 W College Dr Ste 1
Palos Heights, IL 60463-1035
Phone (708) 448-4141

Other identifiers 1

IdentifierTypeStateIssuer
1406897OtherILNABP NO

Other names 1

  • Hills Drug Palos Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201211002110 IL Part B Supplier - Pharmacy 3870613227 Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

7600 W College Dr
Ste 1
Palos Heights, IL 60463
Phone (708) 361-6993

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732406400000",
    "number": "1487752705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR STE 1",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631035",
            "telephone_number": "708-448-4141",
            "fax_number": "708-448-4343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 W COLLEGE DR STE 1",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631035",
            "telephone_number": "708-448-4141",
            "fax_number": "708-448-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS HILLS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "CIPRIANI",
        "authorized_official_first_name": "GIA",
        "authorized_official_middle_name": "GRACE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "708-448-4141"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "054004339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NO",
            "identifier": "1406897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hills Drug Palos",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hills Drug Palos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.