Active NPI
Patrick H Hintz, PHARM.D.
- Pharmacist
- Moline, IL
National Provider Identifier
1487876173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 20472
- Practice address
- 4128 Avenue of the Cities
Moline, IL 61265 - Phone
- (309) 764-4373
- NPI assigned
- May 3, 2007
- Last updated
- Dec 7, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 20472 | IA | Primary |
| Pharmacist | 183500000X | 051291348 | IL |
Addresses
Primary practice location
4128 Avenue of the Cities
Moline, IL 61265
Mailing address
4508 9TH Street CT
East Moline, IL 61244-4178
Phone (309) 524-5022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20472 | IA | MD | Pharmacist |
| 051291348 | IL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1487876173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4508 9TH STREET CT",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612444178",
"telephone_number": "309-524-5022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4128 AVENUE OF THE CITIES",
"city": "MOLINE",
"state": "IL",
"postal_code": "61265",
"telephone_number": "309-764-4373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINTZ",
"first_name": "PATRICK",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "20472",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051291348",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.