Provider Demographics
NPI:1316936594
Name:HILL, JEFFREY D (RPH)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:D
Last Name:HILL
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 STATE ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-4918
Mailing Address - Country:US
Mailing Address - Phone:513-831-8211
Mailing Address - Fax:513-831-2419
Practice Address - Street 1:931 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-4918
Practice Address - Country:US
Practice Address - Phone:513-831-8211
Practice Address - Fax:513-831-2419
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-19
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03-2-13205183500000X
3336C0003X
OH183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered183500000XPharmacy Service ProvidersPharmacist
Not Answered3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0616524Medicaid
OH3644881OtherNCPDP