Active NPI
Angel Gilliland
- Pharmacist
- Hilliard, OH
National Provider Identifier
1679179782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03114985
- Practice address
- 4610 Cemetery Rd
Hilliard, OH 43026-1170 - Phone
- (614) 777-5988
- NPI assigned
- Dec 5, 2020
- 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 | 03114985 | OH | Primary |
Addresses
Primary practice location
4610 Cemetery Rd
Hilliard, OH 43026-1170
Mailing address
4610 Cemetery Rd
Hilliard, OH 43026-1170
Phone (614) 777-5988
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 |
|---|---|---|---|
| 03114985 | OH | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohio CVS Stores, L.L.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607126400000",
"number": "1679179782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4610 CEMETERY RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261170",
"telephone_number": "614-777-5988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4610 CEMETERY RD",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430261170",
"telephone_number": "614-777-5988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLILAND",
"first_name": "ANGEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-05",
"last_updated": "2020-12-05",
"certification_date": "2020-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03114985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.