NPIMap

Organization Active NPI

Highlands Oncology Group, PA

Doing business as Highlands Pharmacy Mtn Home

  • Community/Retail Pharmacy
  • MTN Home, AR
National Provider Identifier
1487373197
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HIGHLANDS ONCOLOGY GROUP, PA
Doing business as
Highlands Pharmacy Mtn Home
Practice address
639 Hospital Dr
MTN Home, AR 72653
Phone
(479) 587-1700
Fax
(479) 587-1366
NPI assigned
Aug 25, 2022
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Teresa A Nagy, CPCS
Title
Credentialing Coordinator
Phone
(479) 313-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

639 Hospital Dr
MTN Home, AR 72653

Mailing address

3901 Parkway Cir
Springdale, AR 72762-6362
Phone (479) 587-1700

Other names 1

  • Highlands Pharmacy Mtn Home Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20210830001472 AR Part B Supplier - Mass Immunization (Roster Biller Only) 7416976196 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fayetteville, AR; Mountain Home, AR; Rogers, AR; Springdale, AR
O20230712004375 AR DME Supplier - Pharmacy 7416976196 Practice locations: Mountain Home, AR

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Highlands Pharmacy MTN Home639 Hospital Dr, Mountain Home, AR 72653-2914(870) 624-1084 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jun 1, 1996

National Provider Directory

National Provider Directory

Locations

1202 SE Eagle Way
Bentonville, AR 72712
Phone (479) 936-9900

639 Hospital Dr
Mountain Home, AR 72653
Phone (870) 580-5280

3202 McIntosh Cir
Ste 103
Joplin, MO 64804
Phone (417) 347-8318

Practitioners & affiliated clinicians

Practitioners 80

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.

View all 80

NPI Registry JSON

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1487373197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 PARKWAY CIR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626362",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 HOSPITAL DR",
            "city": "MTN HOME",
            "state": "AR",
            "postal_code": "72653",
            "telephone_number": "479-587-1700",
            "fax_number": "479-587-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS ONCOLOGY GROUP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-25",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "479-313-6888",
        "authorized_official_credential": "CPCS"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Pharmacy Mtn Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in MTN Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.