Active NPI
Travis Matthew Hilburn, PHARMD
- Pharmacist
- Joplin, MO
National Provider Identifier
1871935932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2013022772
- Practice address
- 2001 S Main St
Joplin, MO 64804-2045 - Phone
- (417) 626-7878
- Fax
- (417) 781-9319
- NPI assigned
- Jul 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2013022772 | MO | Primary |
Addresses
Primary practice location
2001 S Main St
Joplin, MO 64804-2045
Mailing address
111 S Elizabeth St
Carterville, MO 64835-1505
Phone (417) 499-7603
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013022772 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pharmacy
- Joplin, MO
- NPI 1558376707
-
- Pharmacy
- Longview, TX
- NPI 1629956545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374019200000",
"number": "1871935932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 S ELIZABETH ST",
"city": "CARTERVILLE",
"state": "MO",
"postal_code": "648351505",
"telephone_number": "417-499-7603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S MAIN ST",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042045",
"telephone_number": "417-626-7878",
"fax_number": "417-781-9319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILBURN",
"first_name": "TRAVIS",
"middle_name": "MATTHEW",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-17",
"last_updated": "2013-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2013022772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.