NPIMap

Organization Active NPI

Highland Pharmacy LLC

  • Pharmacist
  • Waterford, MI
National Provider Identifier
1386889491
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5315038823 Issued in MI
Legal business name
HIGHLAND PHARMACY LLC
Practice address
4000 Highland Rd
Suite#113
Waterford, MI 48328-2167
Phone
(248) 977-1394
Fax
(248) 977-1395
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Dr. Neil Mehta, PHARM D
Title
Owner/Manager
Phone
(248) 977-1394

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 5315038823 MI Primary

Addresses

Primary practice location

4000 Highland Rd
Suite#113
Waterford, MI 48328-2167

Mailing address

4000 Highland Rd
Suite#113
Waterford, MI 48328-2167
Phone (248) 977-1394

Other names 1

  • Highland Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highland Pharmacy LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1386889491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE#113",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-977-1394",
            "fax_number": "248-977-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 HIGHLAND RD",
            "address_2": "SUITE#113",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483282167",
            "telephone_number": "248-977-1394",
            "fax_number": "248-977-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "248-977-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5315038823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.