Active NPI
Highland Specialty Pharmacy LLC
- Community/Retail Pharmacy
- Hattiesburg, MS
National Provider Identifier
1679833404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- F11403
- Legal business name
- HIGHLAND SPECIALTY PHARMACY LLC
- Doing business as
- Highland Specialty Pharmacy LLC
- Practice address
- 10 C Ainsworth Dr
Hattiesburg, MS 39402-1869 - Phone
- (601) 268-6033
- Fax
- (601) 268-6690
- NPI assigned
- May 28, 2012
- Last updated
- Nov 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William C Pierce, PHARMD
- Title
- Pharmacist in Charge
- Phone
- (601) 268-6033
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | F11403 | MS | Primary |
| Compounding Pharmacy | 3336C0004X | |||
| Mail Order Pharmacy | 3336M0002X |
Addresses
Primary practice location
10 C Ainsworth Dr
Hattiesburg, MS 39402-1869
Mailing address
10 C Ainsworth Dr
Hattiesburg, MS 39402-1869
Phone (601) 268-6033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2588842 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names 1
- Highland Specialty Pharmacy LLC
National Provider Directory
National Provider DirectoryLocations
10 C Ainsworth Dr
Hattiesburg, MS 39402
Phone (601) 268-6033
23 Town Center Sq
Hattiesburg, MS 39402
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pharmacy
- Hattiesburg, MS
- NPI 1265249643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1732492800000",
"number": "1679833404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 C AINSWORTH DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021869",
"telephone_number": "601-268-6033",
"fax_number": "601-268-6690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 C AINSWORTH DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394021869",
"telephone_number": "601-268-6033",
"fax_number": "601-268-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND SPECIALTY PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-28",
"last_updated": "2024-11-25",
"certification_date": "2024-11-25",
"status": "A",
"authorized_official_last_name": "PIERCE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "601-268-6033",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "F11403",
"primary": true
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
"identifier": "2588842",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Specialty Pharmacy LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.