Active NPI
Highlands Oncology Group PA
- Community/Retail Pharmacy
- Rogers, AR
National Provider Identifier
1093009292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- AR20654
- Legal business name
- HIGHLANDS ONCOLOGY GROUP PA
- Practice address
- 808 S 52ND St
Rogers, AR 72758-8602 - Phone
- (479) 878-1818
- Fax
- (479) 878-1819
- NPI assigned
- Jun 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Teresa Nagy, CPCS
- Title
- Credentialing Coordinator
- Phone
- (479) 313-6888
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | AR20654 | AR | Primary |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
808 S 52ND St
Rogers, AR 72758-8602
Mailing address
3901 Parkway Cir Ste 100
Springdale, AR 72762-5328
Phone (479) 587-1700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100728270E | Medicaid | OK | |
| 2130579 | Other | PK | |
| 187612407 | Medicaid | AR |
Other names 2
- Highlands Oncology Group dba Highlands Pharmacy
- Highlands Pharmacy - BCC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111110000878 | AR | DME Supplier - Pharmacy | 7416976196 | Practice locations: Rogers, AR |
| O20210830001472 | AR | Part B Supplier - Mass Immunization (Roster Biller Only) | 7416976196 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Fayetteville, AR; Mountain Home, AR; Rogers, AR; Springdale, AR |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Hematology & Oncology Physician
- Springdale, AR
- NPI 1346211323
7416976196
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Highlands Pharmacy | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1093009292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3901 PARKWAY CIR STE 100",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727625328",
"telephone_number": "479-587-1700",
"fax_number": "479-587-1366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 S 52ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588602",
"telephone_number": "479-878-1818",
"fax_number": "479-878-1819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS ONCOLOGY GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-06",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "NAGY",
"authorized_official_first_name": "TERESA",
"authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
"authorized_official_telephone_number": "479-313-6888",
"authorized_official_credential": "CPCS"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "AR",
"license": "AR20654",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100728270E",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2130579",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "187612407",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highlands Oncology Group dba Highlands Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Highlands Oncology Group dba Highlands Pharmacy",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Highlands Pharmacy - BCC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.