Active NPI
Bestcare Highland LLC
Doing business as Highland Pharmacy
- Community/Retail Pharmacy
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH00004108
- 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, 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
- Mr. Ashok Pothula
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2155864 | Other | PK | |
| 46331018 | Medicaid | NM |
Other names 1
- Highland Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Highland Pharmacy
- Durable Medical Equipment & Medical Supplies
- Albuquerque, NM
- NPI 1730383548
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.
-
- Compounded Sterile Preparations Pharmacist
- Albuquerque, NM
- NPI 1679338586
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.