Active NPI
Trevor Daniel Hillman, PHARMACIST
- Pharmacist
- Omaha, NE
National Provider Identifier
1679108377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 12899
- Practice address
- 14460 W Maple Rd
Omaha, NE 68116-5163 - Phone
- (402) 493-0443
- Fax
- (402) 493-0470
- NPI assigned
- Mar 3, 2020
- Sex
- Male
- 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 | 12899 | NE | Primary |
Addresses
Primary practice location
14460 W Maple Rd
Omaha, NE 68116-5163
Mailing address
14460 W Maple Rd
Omaha, NE 68116-5163
Phone (402) 493-0443
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12899 | Other | NE | LICENSE |
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 |
|---|---|---|---|
| 12899 | NE | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1679108377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14460 W MAPLE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681165163",
"telephone_number": "402-493-0443",
"fax_number": "402-493-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14460 W MAPLE RD",
"city": "OMAHA",
"state": "NE",
"postal_code": "681165163",
"telephone_number": "402-493-0443",
"fax_number": "402-493-0470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLMAN",
"first_name": "TREVOR",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "PHARMACIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-03-03",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "12899",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "12899",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.