Active NPI
Highland Drugs LLC
- Pharmacy
- Santa Fe, NM
National Provider Identifier
1174399364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- HIGHLAND DRUGS LLC
- Practice address
- 1691 Galisteo St Ste a
Santa Fe, NM 87505-4781 - Phone
- (505) 772-9340
- NPI assigned
- Nov 28, 2023
- Last updated
- Nov 28, 2023
- 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
- Jessica Shaw, PHARMD
- Title
- Owner
- Phone
- (973) 647-9172
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | Primary | |
| Compounding Pharmacy | 3336C0004X | NU |
Addresses
Primary practice location
1691 Galisteo St Ste a
Santa Fe, NM 87505-4781
Mailing address
1691 Galisteo St Ste a
Santa Fe, NM 87505-4781
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241029003907 | NM | Part B Supplier - Mass Immunization (Roster Biller Only) | 7214460203 | Practice locations: Santa Fe, NM |
National Provider Directory
National Provider Directory- Tax ID family
- Highland Drugs LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Santa Fe, NM
- NPI 1295582476
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Albuquerque, NM
- NPI 1861940983
-
- Pharmacist
- Santa Fe, NM
- NPI 1699523449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701129600000",
"number": "1174399364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 GALISTEO ST STE A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1691 GALISTEO ST STE A",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875054781",
"telephone_number": "505-772-9340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND DRUGS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-28",
"last_updated": "2023-11-28",
"certification_date": "2023-11-25",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "973-647-9172",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.