Active NPI
Hilltop Pharmacy, LLC
Doing business as Hilltop Pharmacy
- Community/Retail Pharmacy
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- HILLTOP PHARMACY, LLC
- Doing business as
- Hilltop Pharmacy
- Practice address
- 1223 E Division St
Mount Vernon, WA 98274-4101 - Phone
- (360) 428-1710
- Fax
- (360) 428-7847
- NPI assigned
- Jul 19, 2006
- Last updated
- Oct 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Michael Bingham, R.PH.
- Title
- Owner/Manager/Pharmaist
- Phone
- (360) 428-1710
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
1223 E Division St
Mount Vernon, WA 98274-4101
Mailing address
1223 E Division St
Mount Vernon, WA 98274-4101
Phone (360) 428-1710
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098716 | Medicaid | WA |
Other names 1
- Hilltop Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200417001607 | WA | DME Supplier - Pharmacy | 3870923634 | Practice locations: Mount Vernon, WA |
| O20200420002945 | WA | Part B Supplier - Pharmacy | 3870923634 | Practice locations: Mount Vernon, WA |
| O20200608002789 | WA | Part B Supplier - Independent Clinical Laboratory | 3870923634 | Practice locations: Mount Vernon, WA |
National Provider Directory
National Provider Directory- Tax ID family
- Hilltop Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Mount Vernon, WA
- NPI 1730955303
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pharmacist
- Mount Vernon, WA
- NPI 1477816684
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1727740800000",
"number": "1982623054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1223 E DIVISION ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744101",
"telephone_number": "360-428-1710",
"fax_number": "360-428-7847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1223 E DIVISION ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744101",
"telephone_number": "360-428-1710",
"fax_number": "360-428-7847"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLTOP PHARMACY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-19",
"last_updated": "2024-10-01",
"certification_date": "2024-10-01",
"status": "A",
"authorized_official_last_name": "BINGHAM",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER/MANAGER/PHARMAIST",
"authorized_official_telephone_number": "360-428-1710",
"authorized_official_credential": "R.PH."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098716",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hilltop Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hilltop Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.