Heights Prescription Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP410769L Issued in PA

Legal business name

HEIGHTS PRESCRIPTION PHARMACY, INC

Practice address

165 Market St
Leechburg, PA 15656-1334

Phone

(724) 842-1773

Fax

(724) 845-7897

NPI assigned

Oct 21, 2006

Organization subpart

No

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

Authorized official

Name

Alexander J Micklow, R.PH.NPI 1417030875

Title

Secretary

Phone

(724) 842-1773

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Leechburg Health Mart Pharmacy Doing business as

Locations

Practitioners 1

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

• Alexander J Micklow, R.PH.

  • Pharmacist
  • Leechburg, PA
  • NPI 1417030875
  NPD (past) Authorized official

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271030400000",
    "number": "1669555017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MARKET ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561334",
            "telephone_number": "724-842-1773",
            "fax_number": "724-845-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MARKET ST",
            "city": "LEECHBURG",
            "state": "PA",
            "postal_code": "156561334",
            "telephone_number": "724-842-1773",
            "fax_number": "724-845-7897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIGHTS PRESCRIPTION PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-21",
        "last_updated": "2010-04-12",
        "status": "A",
        "authorized_official_last_name": "MICKLOW",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "724-842-1773",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "PA",
            "license": "PP410769L",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP410769L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3929859",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007627200005",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21544",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leechburg Health Mart Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glade Run Medical Associates Inc
• Michelle S Gould, MSW,LSW
• Robert James Gregory, ED. D., LPC
• Shannon S Hach, MD
• Sarah Hawkins
• Daniel Nakoa Holland, MS LPC NCC
• Megan Holland, M.ED. NCC LPC LBS
• James A Humphrey, D.O.
• Terry Paulsen Jakovac, CRNP
• Mary Jessell, CRNP

• Community/Retail Pharmacy in Leechburg, PA
• Providers in Leechburg, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.