Provider Demographics
NPI:1790701068
Name:HILLTOP ENTERPRISES
Entity Type:Organization
Organization Name:HILLTOP ENTERPRISES
Other - Org Name:FAMILY VALUE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:GNSZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-274-4993
Mailing Address - Street 1:2115 14TH ST
Mailing Address - Street 2:STE 201
Mailing Address - City:AUBURN
Mailing Address - State:NE
Mailing Address - Zip Code:68305
Mailing Address - Country:US
Mailing Address - Phone:402-274-5225
Mailing Address - Fax:402-274-5229
Practice Address - Street 1:2115 14TH ST
Practice Address - Street 2:STE 201
Practice Address - City:AUBURN
Practice Address - State:NE
Practice Address - Zip Code:68305-1760
Practice Address - Country:US
Practice Address - Phone:402-274-5225
Practice Address - Fax:402-274-5229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE25773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100250002-00Medicaid
NE2577 NEOtherNEBRASKA LICENSE NUMBER
NE2577 NEOtherNEBRASKA LICENSE NUMBER
NE2577 NEOtherNEBRASKA LICENSE NUMBER