Organization Active NPI

Bestcare Highland LLC

Doing business as Highland Pharmacy

  • Community/Retail Pharmacy
  • Albuquerque, NM
National Provider Identifier
1417945494
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH00004108 Issued in NM
Legal business name
BESTCARE HIGHLAND LLC
Doing business as
Highland Pharmacy
Practice address
717 Encino PL NE
Ste 1
Albuquerque, NM 87102-2611
Phone
(505) 243-3777
Fax
(505) 246-0145
NPI assigned
Oct 12, 2005
Last updated
Oct 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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

Authorized official

Name
Mr. Ashok PothulaNPI 1679338586
Title
Manager
Phone
(505) 243-3777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH00004108 NM Primary
Community/Retail Pharmacy 3336C0003X
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

717 Encino PL NE
Ste 1
Albuquerque, NM 87102-2611

Mailing address

717 Encino PL NE
Ste 1
Albuquerque, NM 87102-2611
Phone (505) 243-3777

Other identifiers 2

IdentifierTypeStateIssuer
2155864OtherPK
46331018MedicaidNM

Other names 1

  • Highland Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20210215000878 NM Part B Supplier - Mass Immunization (Roster Biller Only) 3476968942 Practice locations: Albuquerque, NM
O20220120002545 NM Part B Supplier - Independent Clinical Laboratory 3476968942 Practice locations: Albuquerque, NM
O20240108003789 NM DME Supplier - Pharmacy 3476968942 Practice locations: Albuquerque, NM

National Provider Directory

National Provider Directory
Tax ID family
Bestcare Highland 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696550400000",
    "number": "1417945494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-243-3777",
            "fax_number": "505-246-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-243-3777",
            "fax_number": "505-246-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESTCARE HIGHLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A",
        "authorized_official_last_name": "POTHULA",
        "authorized_official_first_name": "ASHOK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "505-243-3777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NM",
            "license": "PH00004108",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2155864",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46331018",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 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.

Verify at the official NPI Registry.