Highland Park Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0002394 Issued in OR

Legal business name

HIGHLAND PARK PHARMACY LLC

Doing business as

Redmond Pharmacy and Compounding Center

Practice address

424 NW 5TH St
Redmond, OR 97756

Phone

(541) 526-1771

Fax

(541) 504-5476

NPI assigned

May 9, 2007

Last updated

Oct 31, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mike Edmondson, RPH

Title

Owner

Phone

(541) 526-1771

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• REDMOND PHARMACY AND COMPOUNDING CENTER Doing business as

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414713600000",
    "number": "1356555460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 NW 5TH STREET",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-526-1771",
            "fax_number": "541-504-5476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 NW 5TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-526-1771",
            "fax_number": "541-504-5476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2014-10-31",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-526-1771",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0002394",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278755",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2079550",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "REDMOND PHARMACY AND COMPOUNDING CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Denise Gayle Hicks, DDS
• Max W Higbee, D.M.D.
• High Desert Eyecare (High Desert Vision Source)
• High Desert Spine
• High Desert Women's Care
• Alan C Hilles, MD
• Jacqueline Hinds
• Michelle A Hirschy, FNP
• Jacob Hodges, DPT
• Candice Lynn Hodson

• Community/Retail Pharmacy in Redmond, OR
• Providers in Redmond, OR by specialty
• Community/Retail Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2014; 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.