Highlandtown Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P06471 Issued in MD

Legal business name

HIGHLANDTOWN PHARMACY INC

Practice address

3911 Eastern Ave
Baltimore, MD 21224-4224

Phone

(667) 212-3621

Fax

(667) 212-3623

NPI assigned

Aug 4, 2014

Organization subpart

No

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

Authorized official

Name

Vinay Kumar Dasari

Title

Manager

Phone

(667) 212-3621

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Highlandtown Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 1

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

• Jignesh Sevak

  • Pharmacist
  • Baltimore, MD
  • NPI 1104085372
  NPD

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1033528013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244224",
            "telephone_number": "667-212-3621",
            "fax_number": "667-212-3623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 EASTERN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244224",
            "telephone_number": "667-212-3621",
            "fax_number": "667-212-3623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDTOWN PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "VINAY KUMAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "667-212-3621"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MD",
            "license": "P06471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2148130",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlandtown Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• High Hopes, LLC
• Rodneyah High
• Sarah High, CRNP
• Jeffrey S Highfill, M.D.
• Highlandtown Dental Group, LLC
• Highlights Speech Therapy, Inc.
• Highsmith Wellness and Consulting L.L.C.
• Lauren Denise Highsmith
• Deanna L Hight, LCSW
• Lucretia Hightower, M.S. CCC-SLP

• Community/Retail Pharmacy in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Retail Pharmacy in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.