Organization Active NPI

Highlands Oncology Group, PA

  • Pharmacy
  • Fayetteville, AR
National Provider Identifier
1093861825
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
AR20554 Issued in AR
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
163105407MedicaidAR
100728270BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
04D0915056Highlands Oncology Group Lab I3232 North North Hills Blvd, Fayetteville, AR 72703ComplianceSep 19, 2026

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.