Phillip Hivale, PHARMD

Primary specialty

Ambulatory Care PharmacistTaxonomy code 1835P2201X

License

68618 Issued in CA

Practice address

11227 San Mateo Dr Apt a
Loma Linda, CA 92354-3274

Phone

(817) 797-1254

NPI assigned

Jun 29, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570492800000",
    "number": "1972024073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11227 SAN MATEO DR APT A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543274",
            "telephone_number": "817-797-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11227 SAN MATEO DR APT A",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543274",
            "telephone_number": "817-797-1254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIVALE",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2019-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "CA",
            "license": "68618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernard Hindman, M.D.
• Mercedes Cristina Hinestroza, LMFT
• David Hinshaw, M.D.
• Carol Lowrey Hippert, MA
• Tamara Jean Hitchcock
• Su Su Hline, M.D.
• Caleb Raymond Ga-Jun Ho-a-Shoo
• Arlene Phuong-Quynh Ho, MD
• Elliot Ho, D.O.
• Lien Kim Ho

• Ambulatory Care Pharmacist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Ambulatory Care Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.