Heights Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

051030290 Issued in IL

Legal business name

HEIGHTS PHARMACY, INC.

Practice address

2555 Lincoln Hwy
Suite 204a
Olympia Fields, IL 60461-1936

Phone

(708) 748-2630

Fax

(708) 748-2640

NPI assigned

Feb 13, 2007

Last updated

Nov 28, 2016By 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

Mr. Harry Ducksworth, R.PH

Title

Pharmacist

Phone

(708) 748-2630

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480291200000",
    "number": "1427190966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HWY",
            "address_2": "SUITE 204A",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611936",
            "telephone_number": "708-748-2630",
            "fax_number": "708-748-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 LINCOLN HWY",
            "address_2": "SUITE 204A",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611936",
            "telephone_number": "708-748-2630",
            "fax_number": "708-748-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2016-11-28",
        "status": "A",
        "authorized_official_last_name": "DUCKSWORTH",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "708-748-2630",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051030290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "1462097",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.