Individual provider Active NPI

Hilary Vaughn, PHARMD

  • Pharmacist
  • St. Clair, MI
National Provider Identifier
1740811926
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302047378 Issued in MI
Practice address
1545 Fred Moore Highway
St. Clair, MI 48079
Phone
(810) 326-1381
NPI assigned
Jan 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302047378 MI Primary

Addresses

Primary practice location

1545 Fred Moore Highway
St. Clair, MI 48079

Mailing address

43611 Schoenherr Rd
Sterling Heights, MI 48313-1114
Phone (586) 254-8418

Other practice location 1

43611 Schoenherr Rd
Sterling Heights, MI 48313-1114
Phone (586) 254-8418

Other identifiers 1

IdentifierTypeStateIssuer
5302047378OtherMISTATE RPH LICENCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hilary.vaughn@cvshealth.com Direct

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
5302047378MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1740811926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43611 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483131114",
            "telephone_number": "586-254-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 FRED MOORE HIGHWAY",
            "city": "ST. CLAIR",
            "state": "MI",
            "postal_code": "48079",
            "telephone_number": "810-326-1381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43611 Schoenherr Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483131114",
            "country_code": "US",
            "telephone_number": "586-254-8418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAUGHN",
        "first_name": "HILARY",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302047378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE RPH LICENCE",
            "identifier": "5302047378",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hilary.vaughn@cvshealth.com",
            "affiliation": "N",
            "endpointDescription": "corporate email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "RPH prescribing",
            "address_1": "1545 Fred Moore Highway",
            "city": "St. Clair",
            "state": "MI",
            "country_code": "US",
            "postal_code": "48079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St. Clair, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; 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.