Active NPI
Bradford Lee Hill
- Pharmacist
- McGehee, AR
National Provider Identifier
1992305320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD09691
- Practice address
- 1001 Highway 65 S
MC Gehee, AR 71654-9417 - Phone
- (870) 222-6233
- Fax
- (870) 222-6334
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PD09691 | AR | Primary |
Addresses
Primary practice location
1001 Highway 65 S
MC Gehee, AR 71654-9417
Mailing address
432 Highway 277 N
Monticello, AR 71655-8822
Phone (870) 367-1765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PD09691 | AR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Inc. | Past | Accepting new patients | |
| Walmart Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1992305320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 HIGHWAY 277 N",
"city": "MONTICELLO",
"state": "AR",
"postal_code": "716558822",
"telephone_number": "870-367-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 HIGHWAY 65 S",
"city": "MC GEHEE",
"state": "AR",
"postal_code": "716549417",
"telephone_number": "870-222-6233",
"fax_number": "870-222-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "BRADFORD",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD09691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McGehee, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.