Active NPI
Hillrise Pharmacy LLC
- Community/Retail Pharmacy
- Las Cruces, NM
National Provider Identifier
1710550975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HILLRISE PHARMACY LLC
- Practice address
- 2906 Hillrise Dr
Las Cruces, NM 88011-4702 - Phone
- (575) 652-4499
- Fax
- (575) 323-3036
- NPI assigned
- Jul 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Satish Yelamanchili
- Title
- Owner
- Phone
- (816) 699-1889
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2906 Hillrise Dr
Las Cruces, NM 88011-4702
Mailing address
2906 Hillrise Dr
Las Cruces, NM 88011-4702
Phone (575) 652-4499
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6465587 | Other | NM | LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211129001534 | NM | Part B Supplier - Pharmacy | 4486044807 | Practice locations: Las Cruces, NM |
National Provider Directory
National Provider DirectoryLocations
2906 Hillrise Dr
Las Cruces, NM 88011
Phone (505) 521-4273
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Fredericksburg, VA
- NPI 1669771770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626998400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626998400000",
"number": "1710550975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2906 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114702",
"telephone_number": "575-652-4499",
"fax_number": "575-323-3036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2906 HILLRISE DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880114702",
"telephone_number": "575-652-4499",
"fax_number": "575-323-3036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLRISE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-23",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A",
"authorized_official_last_name": "YELAMANCHILI",
"authorized_official_first_name": "SATISH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "816-699-1889",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LLC",
"identifier": "6465587",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.