Highlander Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

30016 Issued in TX

Legal business name

HIGHLANDER PHARMACY LLC

Practice address

2225 Vatican LN
Dallas, TX 75224-4719

Phone

(817) 375-2036

Fax

(214) 467-8164

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Tammie Miskimins

Title

Manager, Pharmacy Licensing/Contrac

Phone

(817) 572-0009

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Cypress Point Rx Doing business as

Locations

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445212800000",
    "number": "1114027414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E LOOP 820 S",
            "address_2": "SUITE 102",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761196569",
            "telephone_number": "817-572-0009",
            "fax_number": "817-720-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 VATICAN LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244719",
            "telephone_number": "817-375-2036",
            "fax_number": "214-467-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2015-10-19",
        "status": "A",
        "authorized_official_last_name": "MISKIMINS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "MANAGER, PHARMACY LICENSING/CONTRAC",
        "authorized_official_telephone_number": "817-572-0009"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30016",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2153493",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Point Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Highland Springs Home Care, LLC
• Highland Springs, Inc
• Highland Springs, Inc
• Highland Springs, Inc.
• Highland Transport Dallas LLC
• Highlands Dental PLLC
• Highlands Sleep Center LLP
• Highrise Health PLLC
• Gerrid D Hightower
• Highview Health Services LLC

• Community/Retail Pharmacy in Dallas, TX
• Providers in Dallas, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2015; 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.