Organization Active NPI

Hill City Pharmacy Inc

  • Community/Retail Pharmacy
  • Lynchburg, VA
National Provider Identifier
1881106946
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0201004819 Issued in VA
Legal business name
HILL CITY PHARMACY INC
Practice address
800 5TH St Ste B
Lynchburg, VA 24504-2848
Phone
(434) 845-2222
Fax
(434) 845-2211
NPI assigned
Oct 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Bryan Moody
Title
President
Phone
(434) 237-2221

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 0201004819 VA Primary

Addresses

Primary practice location

800 5TH St Ste B
Lynchburg, VA 24504-2848

Mailing address

800 5TH Street
Suite B
Lynchburg, VA 24504
Phone (434) 845-2222

Other identifiers 2

IdentifierTypeStateIssuer
1881106946MedicaidVA
2172778OtherPK

Other names 1

  • Hill City Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hill City Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

800 5th St
Ste B
Lynchburg, VA 24504
Phone (434) 845-2222

NPI Registry JSON

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1881106946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 5TH STREET",
            "address_2": "SUITE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "24504",
            "telephone_number": "434-845-2222",
            "fax_number": "434-845-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 5TH ST STE B",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245042848",
            "telephone_number": "434-845-2222",
            "fax_number": "434-845-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL CITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-30",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "434-237-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201004819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881106946",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2172778",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hill City Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; 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.