Organization Active NPI

Highland Specialty Pharmacy LLC

  • Community/Retail Pharmacy
  • Hattiesburg, MS
National Provider Identifier
1679833404
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
F11403 Issued in MS
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2588842OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Highland Specialty Pharmacy LLC Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.