Highgate Apothecary-101 LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

007507 Issued in LA

Legal business name

HIGHGATE APOTHECARY-101 LLC

Doing business as

Highgate Apothecary

Practice address

141 Lakeview Cir
Covington, LA 70433-7513

Phone

(985) 400-2428

Fax

(985) 400-2427

NPI assigned

Jun 13, 2017

Organization subpart

No

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

Authorized official

Name

Robert Scelfo, RPH

Title

Pharmacist in Charge/Ao

Phone

(985) 400-2428

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Highgate Apothecary Doing business as

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

{
    "created_epoch": "1497312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1417487430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337513",
            "telephone_number": "985-400-2428",
            "fax_number": "985-400-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 LAKEVIEW CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337513",
            "telephone_number": "985-400-2428",
            "fax_number": "985-400-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHGATE APOTHECARY-101 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-13",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "SCELFO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/AO",
        "authorized_official_telephone_number": "985-400-2428",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "007507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2170365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2205366",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highgate Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Covington, LA
• Providers in Covington, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.