Hillrise Pharmacy Deming LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HILLRISE PHARMACY DEMING LLC

Practice address

820 E Florida St
Deming, NM 88030-5312

Phone

(917) 855-1189

NPI assigned

May 23, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rajesh Kumar Kanakavalli

Title

Owner

Phone

(917) 855-1189

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1679312052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 E FLORIDA ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E FLORIDA ST",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880305312",
            "telephone_number": "917-855-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLRISE PHARMACY DEMING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "KANAKAVALLI",
        "authorized_official_first_name": "RAJESH KUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-855-1189"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alonni Rae Harrell
• Ryan Edward Harrington
• Renee Christine Heacox-Winborn, LISW
• Naomi Marisol Herrera
• Troy Craig Hill, LMFT
• Robyn R Horcasitas, M.A., CCC-SLP
• Abiodun Howells
• J. Manning Hudson, DOM
• Ella Mae Irvin-Marcinak
• Beatrice Kasey Jackson, CSW

• Community/Retail Pharmacy in Deming, NM
• Providers in Deming, NM by specialty
• Community/Retail Pharmacy in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.