Active NPI
Tom Hill, DPH
- Pharmacist
- Ardmore, OK
National Provider Identifier
1619671765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11099
- Practice address
- 205 N Commerce St
Ardmore, OK 73401-3906 - Phone
- (580) 223-0143
- NPI assigned
- Mar 30, 2023
- Last updated
- Mar 30, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11099 | OK | Primary |
Addresses
Primary practice location
205 N Commerce St
Ardmore, OK 73401-3906
Mailing address
205 N Commerce St
Ardmore, OK 73401-3906
Phone (580) 223-0143
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11099 | OK | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hac, Inc. | Current | Accepting new patients | |
| Hac, Inc | Past | Accepting new patients |
Locations
205 N Commerce St
Ardmore, OK 73401
Phone (580) 223-0143
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1619671765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734013906",
"telephone_number": "580-223-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 N COMMERCE ST",
"city": "ARDMORE",
"state": "OK",
"postal_code": "734013906",
"telephone_number": "580-223-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "TOM",
"name_prefix": "Dr.",
"credential": "DPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "11099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ardmore, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.