Active NPI
Highlands Oncology Group, PA
- Pharmacy
- Fayetteville, AR
National Provider Identifier
1093861825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- AR20554
- Legal business name
- HIGHLANDS ONCOLOGY GROUP, PA
- Practice address
- 3232 N North Hills Blvd
Fayetteville, AR 72703-4005 - Phone
- (479) 695-1199
- Fax
- (479) 695-1214
- NPI assigned
- Jan 26, 2007
- Last updated
- Jul 6, 2026
- 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 A Nagy, CPCS
- Title
- Credentialing Coordinator
- Phone
- (479) 313-6888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | AR20554 | AR | Primary |
Addresses
Primary practice location
3232 N North Hills Blvd
Fayetteville, AR 72703-4005
Mailing address
3232 N Northhills Blvd
Fayetteville, AR 72703-4005
Phone (479) 695-1199
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 163105407 | Medicaid | AR | |
| 100728270B | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Highlands Oncology Group dba Highlands Pharmacy
- Community/Retail Pharmacy
- Rogers, AR
- NPI 1093009292
O20210830001472
-
dba Highlands Oncology Pharmacy at Parkway
- Community/Retail Pharmacy
- Springdale, AR
- NPI 1598393605
O20210830001472
-
dba Highlands Pharmacy Mtn Home
- Community/Retail Pharmacy
- MTN Home, AR
- NPI 1487373197
O20210830001472
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.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0915056 | Highlands Oncology Group Lab I | Compliance | Sep 19, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1783296000000",
"number": "1093861825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3232 N NORTHHILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034005",
"telephone_number": "479-695-1199",
"fax_number": "479-695-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3232 N NORTH HILLS BLVD",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034005",
"telephone_number": "479-695-1199",
"fax_number": "479-695-1214"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS ONCOLOGY GROUP, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-26",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A",
"authorized_official_last_name": "NAGY",
"authorized_official_first_name": "TERESA",
"authorized_official_middle_name": "A",
"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": "AR",
"license": "AR20554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "163105407",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100728270B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, 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.