HILLRISE PHARMACY LLC
NPI 1104490143
Pharmacy - Long Term Care Pharmacy in Philadelphia, PA

Active since May 14, 2021
4240 N BROAD ST, PHILADELPHIA, PA 19140(215) 403-7300(267) 335-3937 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hillrise Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HILLRISE PHARMACY LLC (NPI 1104490143), doing business as Hillrise Pharmacy, is a healthcare organization registered as a long term care pharmacy in Philadelphia, Pennsylvania and active in the NPI registry since May 2021. The organization lists Omotayo Olufemi Badejoko, Pharmacy Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1104490143
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameHILLRISE PHARMACY LLC
Location Address4240 N BROAD STPhiladelphia, PA 19140-1908
Mailing Address7817 Cheltenham AveLaverock, PA 19038-7621 · (484) 326-1877 · Fax (267) 335-3937
Fax(267) 335-3937
Organization SubpartNo
Authorized OfficialOmotayo Olufemi BadejokoPharmacy Manager/owner · (215) 403-7300
Enumeration DateMay 14, 2021
NPPES CertifiedMay 14, 2021
NPI 1104490143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X
4240 N BROAD ST, Philadelphia, PA 19140

Other Names 1

Doing Business AsHillrise Pharmacy

Other Identifiers 1

Medicaid103114017PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hillrise Pharmacy LLC's NPI number?

The NPI number for Hillrise Pharmacy LLC is 1104490143. It was assigned to this organization in the NPPES registry on May 14, 2021. The provider is doing business as HillRise Pharmacy.

Where is Hillrise Pharmacy LLC located?

Hillrise Pharmacy LLC is located at 4240 N Broad St, Philadelphia, PA 19140. The listed phone number is (215) 403-7300.

What is Hillrise Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Hillrise Pharmacy LLC was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.