Organization Active NPI

Hilltop Pharmacy, LLC

Doing business as Hilltop Pharmacy

  • Community/Retail Pharmacy
  • Clarksville, TN
National Provider Identifier
1699247783
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HILLTOP PHARMACY, LLC
Doing business as
Hilltop Pharmacy
Practice address
400 Highway 149
Clarksville, TN 37040-7237
Phone
(931) 233-0444
NPI assigned
Dec 29, 2018
Last updated
Apr 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Authorized official

Name
Dr. Brandon VetterNPI 1144584863
Title
Secretary
Phone
(931) 233-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

400 Highway 149
Clarksville, TN 37040-7237

Mailing address

400 Highway 149
Clarksville, TN 37040-7237
Phone (931) 233-0444

Other identifiers 1

IdentifierTypeStateIssuer
Q046044MedicaidTN

Other names 1

  • Hilltop Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191113003289 TN Part B Supplier - Pharmacy 4284066234 Practice locations: Clarksville, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2234559Hilltop Pharmacy400 Highway 149, Clarksville, TN 37040Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

400 Highway 149
Clarksville, TN 37040
Phone (931) 233-0444

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649635200000",
    "number": "1699247783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 149",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407237",
            "telephone_number": "931-233-0444",
            "fax_number": "931-278-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HIGHWAY 149",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370407237",
            "telephone_number": "931-233-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-29",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "VETTER",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "931-233-0444",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q046044",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hilltop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hilltop Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.