Organization Active NPI

Highland Health Care LLC

Doing business as Highland Pharmacy

  • Community/Retail Pharmacy
  • Edmonds, WA
National Provider Identifier
1669483160
Registry record updated Jan 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60190552 Issued in WA
Legal business name
HIGHLAND HEALTH CARE LLC
Doing business as
Highland Pharmacy
Practice address
22618 Hwy 99
Ste 109
Edmonds, WA 98026-8395
Phone
(425) 673-8533
Fax
(425) 673-5010
NPI assigned
Aug 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2011

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

Authorized official

Name
Hyo Kim
Title
Manager
Phone
(425) 673-8533

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60190552 WA Primary

Addresses

Primary practice location

22618 Hwy 99
Ste 109
Edmonds, WA 98026-8395

Mailing address

22618 Hwy 99
Ste 109
Edmonds, WA 98026-8395
Phone (425) 673-8533

Other identifiers 1

IdentifierTypeStateIssuer
4920232OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • HIGHLAND PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

22618 Highway 99
Ste 109
Edmonds, WA 98026
Phone (425) 673-8533

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294963200000",
    "number": "1669483160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22618 HWY 99",
            "address_2": "STE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268395",
            "telephone_number": "425-673-8533",
            "fax_number": "425-673-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22618 HWY 99",
            "address_2": "STE 109",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980268395",
            "telephone_number": "425-673-8533",
            "fax_number": "425-673-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-01-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "HYO",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "425-673-8533"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WA",
            "license": "60190552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4920232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGHLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmonds, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2011; 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.