Highlander Pharmacy Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

SP0551261 Issued in WV

Legal business name

HIGHLANDER PHARMACY INC.

Doing business as

HIGHLANDER PHARMACY

Practice address

117 Back Fork St
Webster Springs, WV 26288-1032

Phone

(304) 847-5151

Fax

(304) 847-2800

NPI assigned

Oct 9, 2005

Organization subpart

No

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

Authorized official

Name

Jeffrey Kesecker

Title

President and Ceo

Phone

(304) 847-5151

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• HIGHLANDER PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in WV2 enrollments

Enrollment records 2

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

Member of 2

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

• Gassaway Drug Company

  • Community/Retail Pharmacy
  • Gassaway, WV
  • NPI 1700874278

  Member Of

  NPD member
• Mountain Lake Pharmacy Inc

  • Community/Retail Pharmacy
  • Summersville, WV
  • NPI 1336228006

  Member Of

  NPD member

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• Gassaway Drug Company

  • Community/Retail Pharmacy
  • Gassaway, WV
  • NPI 1700874278

  Member Of

  NPD member
• Mountain Lake Pharmacy Inc

  • Community/Retail Pharmacy
  • Summersville, WV
  • NPI 1336228006

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Michael McQuain, RPH

  • Pharmacist
  • Craigsville, WV
  • NPI 1487902045
  NPD

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

{
    "created_epoch": "1128816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314748800000",
    "number": "1518955103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 BACK FORK ST",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262881032",
            "telephone_number": "304-847-5151",
            "fax_number": "304-847-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 BACK FORK ST",
            "city": "WEBSTER SPRINGS",
            "state": "WV",
            "postal_code": "262881032",
            "telephone_number": "304-847-5151",
            "fax_number": "304-847-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDER PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-09",
        "last_updated": "2011-08-31",
        "status": "A",
        "authorized_official_last_name": "KESECKER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "304-847-5151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0551261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141405000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5010878",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLANDER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Drenda Joan Harrison, LMT
• Ashley Hayhurst
• Pammy Henline
• Pauline Henline
• Carol Hernandez
• Sherry Hise
• Tiffany Louise Hull, CPRSS
• Aerial Ann Jarvis, DPT
• Ellen Savannah Johnson
• Charles B. Jordan

• Community/Retail Pharmacy in Webster Springs, WV
• Providers in Webster Springs, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; 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.