Active NPI
Jessica Beth Hillard, PHARMD
- Pharmacist
- Charlotte, MI
National Provider Identifier
1598307464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5302033511
- Practice address
- 354 S Cochran Ave Ste 3
Charlotte, MI 48813-1569 - Phone
- (517) 543-9990
- NPI assigned
- Oct 12, 2019
- Last updated
- Nov 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5302033511 | MI | Primary |
Addresses
Primary practice location
354 S Cochran Ave Ste 3
Charlotte, MI 48813-1569
Mailing address
6739 W Clarksville Rd
Clarksville, MI 48815-9785
Phone (269) 838-7146
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053856419 | Medicaid | MI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | centralcharlotterx@gmail.com | Other | Central Pharmacy - Charlotte LLC |
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 |
|---|---|---|---|
| 5302033511 | MI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Pharmacy - Charlotte LLC | Past | Accepting new patients | |
| Central Pharmacy - Charlotte LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Charlotte, MI
- NPI 1053856419
-
- Pharmacy
- Charlotte, MI
- NPI 1104381276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1598307464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6739 W CLARKSVILLE RD",
"city": "CLARKSVILLE",
"state": "MI",
"postal_code": "488159785",
"telephone_number": "269-838-7146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 S COCHRAN AVE STE 3",
"city": "CHARLOTTE",
"state": "MI",
"postal_code": "488131569",
"telephone_number": "517-543-9990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLARD",
"first_name": "JESSICA",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-12",
"last_updated": "2023-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MI",
"license": "5302033511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1053856419",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "centralcharlotterx@gmail.com",
"affiliation": "Y",
"endpointDescription": "Central Pharmacy Email",
"affiliationName": "Central Pharmacy - Charlotte LLC",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "354 S Cochran Ave Ste 3",
"city": "Charlotte",
"state": "MI",
"country_code": "US",
"postal_code": "488131569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.