Xinim Corporation

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH 9050 Issued in FL

Legal business name

XINIM CORPORATION

Doing business as

Holly Hill Pharmacy
Holly Hill Pharmacy Home Infusion Services

Practice address

1702 Ridgewood Ave
Suite a - G
Holly Hill, FL 32117-5416

Phone

(386) 677-7377

Fax

(386) 677-0739

NPI assigned

Jul 22, 2005

Organization subpart

No

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

Authorized official

Name

Thomas Hill, PHARMDNPI 1629540729

Title

DPT

Phone

(386) 677-7377

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 2

• Holly Hill Pharmacy Doing business as
• Holly Hill Pharmacy Home Infusion Services Doing business as

Medicare fee-for-service enrollment

Enrolled in FL3 enrollments

Home infusion therapy

Medicare-enrolled home infusion therapy supplier

Enrollment records 3

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

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Bunnell Pharmacy Inc

  • Community/Retail Pharmacy
  • Bunnell, FL
  • NPI 1194833822

  Member Of

  NPD member
• Home Care Pharmacy of Palm Coast Inc.

  • Community/Retail Pharmacy
  • Palm Coast, FL
  • NPI 1821013715

  Member Of

  NPD member

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Thomas Hill, PHARMD

  • Pharmacist
  • Holly Hill, FL
  • NPI 1629540729
  NPD Authorized official
• Randolph Ernest Margrave, RPH

  • Pharmacist
  • Holly Hill, FL
  • NPI 1679118343
  NPD (past)

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618790400000",
    "number": "1932109667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 RIDGEWOOD AVE",
            "address_2": "SUITE C",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321175416",
            "telephone_number": "386-677-7377",
            "fax_number": "386-677-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 RIDGEWOOD AVE",
            "address_2": "SUITE A - G",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321175416",
            "telephone_number": "386-677-7377",
            "fax_number": "386-677-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XINIM CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DPT",
        "authorized_official_telephone_number": "386-677-7377",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299994706",
            "primary": false
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "PH9050",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "FL",
            "license": "PH9050",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "FL",
            "license": "PH9050",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "FL",
            "license": "PH 9050",
            "primary": true
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": "PH9050",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103813400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Hill Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holly Hill Pharmacy Home Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Waymaker NP Care LLC
• Taylor Weaver, PTA
• Nathan P Wharton, LMHC
• Timothy Jason Willett, H.A.S.
• Joyce Wright, PHARM.D
• Joseph Zuckerman, MD

• Pharmacy in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2021; 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.