Organization Active NPI

Hilltop Pharmacy

  • Community/Retail Pharmacy
  • Stockton, CA
National Provider Identifier
1992109458
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY 53438 Issued in CA
Legal business name
HILLTOP PHARMACY
Practice address
4545 Georgetown PL Ste B10
Stockton, CA 95207-6230
Phone
(209) 851-2162
Fax
(209) 851-2935
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Andy CaoNPI 1578991204
Title
Owner/Pharmacist
Phone
(209) 851-2162

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PHY 53438 CA Primary

Addresses

Primary practice location

4545 Georgetown PL Ste B10
Stockton, CA 95207-6230

Mailing address

4545 Georgetown PL Ste B10
Stockton, CA 95207-6230
Phone (209) 851-2162

Other identifiers 1

IdentifierTypeStateIssuer
6221740MedicaidCA

National Provider Directory

National Provider Directory

Locations

4545 Georgetown Pl
Ste B10
Stockton, CA 95207
Phone (209) 851-2162

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1992109458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL STE B10",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076230",
            "telephone_number": "209-851-2162",
            "fax_number": "209-851-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 GEORGETOWN PL STE B10",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952076230",
            "telephone_number": "209-851-2162",
            "fax_number": "209-851-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "CAO",
        "authorized_official_first_name": "ANDY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "209-851-2162"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY 53438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6221740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.