Organization Active NPI

Highland Square Pharmacy Inc

  • Community/Retail Pharmacy
  • Akron, OH
National Provider Identifier
1124133160
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PMY.020643200-03 Issued in OH
Legal business name
HIGHLAND SQUARE PHARMACY INC
Practice address
786 W Market St
Akron, OH 44303-1048
Phone
(330) 535-3153
Fax
(330) 996-4217
NPI assigned
Aug 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

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

Authorized official

Name
Rod Kalbus, BS PHARMACY
Title
President Pic
Phone
(330) 535-3153

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PMY.020643200-03 OH Primary

Addresses

Primary practice location

786 W Market St
Akron, OH 44303-1048

Mailing address

786 W Market St
Akron, OH 44303-1048
Phone (330) 535-3153

Other identifiers 2

IdentifierTypeStateIssuer
2071956OtherPK
0831210MedicaidOH

Other names 1

  • HIGHLAND SQUARE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

786 W Market St
Akron, OH 44303
Phone (330) 535-3153

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": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489449600000",
    "number": "1124133160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "786 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031048",
            "telephone_number": "330-535-3153",
            "fax_number": "330-996-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "786 W MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443031048",
            "telephone_number": "330-535-3153",
            "fax_number": "330-996-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND SQUARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2017-03-14",
        "status": "A",
        "authorized_official_last_name": "KALBUS",
        "authorized_official_first_name": "ROD",
        "authorized_official_title_or_position": "PRESIDENT PIC",
        "authorized_official_telephone_number": "330-535-3153",
        "authorized_official_credential": "BS PHARMACY"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "PMY.020643200-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2071956",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0831210",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND SQUARE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2017; 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.