Organization Active NPI

Hill Pharmaceuticals LLC

Doing business as Glenn's Prescription Center

  • Community/Retail Pharmacy
  • Salem, KY
National Provider Identifier
1922031483
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P07656 Issued in KY
Legal business name
HILL PHARMACEUTICALS LLC
Doing business as
Glenn's Prescription Center
Practice address
119 E Main St
Salem, KY 42078-9998
Phone
(270) 988-3226
Fax
(270) 988-4357
NPI assigned
Jul 8, 2006
Last updated
Aug 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Tashena Elizabeth Hill, PHARMDNPI 1154840924
Title
Authorized Official, Owner
Phone
(270) 988-3226

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P07656 KY Primary

Addresses

Primary practice location

119 E Main St
Salem, KY 42078-9998

Mailing address

119 E Main St
PO Box 316
Salem, KY 42078-9998
Phone (270) 988-3226

Other identifiers 3

IdentifierTypeStateIssuer
710335670MedicaidKY
18D2159792OtherKYCLIA WAIVER
2148578OtherPK

Other names 1

  • Glenn's Prescription Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20150309001455 KY Part B Supplier - Mass Immunization (Roster Biller Only) 4385960483 1 other NPI on this enrollment
Practice locations: Marion, KY; Salem, KY
O20150730012142 KY Part B Supplier - Pharmacy 4385960483 Practice locations: Salem, KY; Marion, KY
O20181226002052 KY DME Supplier - Pharmacy 4385960483 Practice locations: Salem, KY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2159792Glenn's Prescription Center119 West Main St, Salem, KY 42078Certificate of waiverDec 26, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Glenn's Prescription Center119 E Main St, Salem, KY 42078-9998(270) 988-3226 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Oct 17, 2014

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1922031483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "address_2": "PO BOX 316",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420789998",
            "telephone_number": "270-988-3226",
            "fax_number": "270-988-4357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E MAIN ST",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420789998",
            "telephone_number": "270-988-3226",
            "fax_number": "270-988-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL PHARMACEUTICALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "TASHENA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, OWNER",
        "authorized_official_telephone_number": "270-988-3226",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07656",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710335670",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA WAIVER",
            "identifier": "18D2159792",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148578",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glenn's Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Glenn's Prescription Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.