Organization Active NPI

Highlawn Preferred Pharmacy

  • Community/Retail Pharmacy
  • Huntington, WV
National Provider Identifier
1063701944
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552415 Issued in WV
Legal business name
HIGHLAWN PREFERRED PHARMACY
Practice address
2828 1St Ave
Suite 203
Huntington, WV 25702-1236
Phone
(304) 522-6304
Fax
(304) 522-6399
NPI assigned
Mar 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Authorized official

Name
Baffour Agyare
Title
Pharmacist
Phone
(304) 522-6304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552415 WV Primary

Addresses

Primary practice location

2828 1St Ave
Suite 203
Huntington, WV 25702-1236

Mailing address

2828 1St Ave
Suite 203
Huntington, WV 25702-1236
Phone (304) 522-6304

Other identifiers 1

IdentifierTypeStateIssuer
5055442OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Highlawn Preferred Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2828 1st Ave
Ste 203
Huntington, WV 25702
Phone (304) 522-1133

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1063701944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 203",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-522-6304",
            "fax_number": "304-522-6399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 1ST AVE",
            "address_2": "SUITE 203",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257021236",
            "telephone_number": "304-522-6304",
            "fax_number": "304-522-6399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAWN PREFERRED PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "AGYARE",
        "authorized_official_first_name": "BAFFOUR",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "304-522-6304"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5055442",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlawn Preferred Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.