Hill'S General Store, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CPED2796 Issued in DE

Legal business name

HILL'S GENERAL STORE, INC.

Practice address

13763 Fancy Gap Hwy
Cana, VA 24317-3517

Phone

(276) 755-3412

Fax

(276) 755-4702

NPI assigned

Sep 9, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Todd Oscar Hill, C. PED.

Title

Vice-President

Phone

(276) 755-3412

Specialties & licenses 2

Addresses

Other names 1

• Hill's Shoes Doing business as

Locations

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1740439207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13763 FANCY GAP HWY",
            "city": "CANA",
            "state": "VA",
            "postal_code": "243173517",
            "telephone_number": "276-755-3412",
            "fax_number": "276-755-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13763 FANCY GAP HWY",
            "city": "CANA",
            "state": "VA",
            "postal_code": "243173517",
            "telephone_number": "276-755-3412",
            "fax_number": "276-755-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL'S GENERAL STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "276-755-3412",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "C. PED."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "DE",
            "license": "CPED2796",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "DE",
            "license": "CPED2796",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill's Shoes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Cana, VA
• Providers in Cana, VA by specialty
• Durable Medical Equipment & Medical Supplies in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.