Organization Active NPI

Highland Park Drug Store Inc

Doing business as Northwest Hills at Davenport

  • Community/Retail Pharmacy
  • Austin, TX
National Provider Identifier
1699868729
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
18867 Issued in TX
Legal business name
HIGHLAND PARK DRUG STORE INC
Doing business as
Northwest Hills at Davenport
Practice address
3801 N Capital of Texas Hwy Ste G200
Austin, TX 78746-1487
Phone
(512) 329-8667
Fax
(512) 327-0706
NPI assigned
Oct 2, 2006
Last updated
Jun 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Thomas Sansing, RPH
Title
President
Phone
(512) 329-8667

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 18867 TX Primary

Addresses

Primary practice location

3801 N Capital of Texas Hwy Ste G200
Austin, TX 78746-1487

Mailing address

3801 N Capital of Texas Hwy Ste G200
Austin, TX 78746-1487
Phone (512) 329-8667

Other names 1

  • NORTHWEST HILLS AT DAVENPORT Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190122002617 TX Part B Supplier - Mass Immunization (Roster Biller Only) 5496950149 Practice locations: Austin, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2198617Northwest Hills Pharmacy at Davenport3801 N Capital of Texas Hwy G-200, Austin, TX 78746Certificate of waiverNov 2, 2026

National Provider Directory

National Provider Directory

Locations

3801 N Capital of Texas Hwy
Ste D130
Austin, TX 78746
Phone (512) 617-0993

3801 N Capital of Texas Hwy
Ste D200
Austin, TX 78746
Phone (512) 329-5930

3801 N Capital of Texas Hwy
Ste G200
West Lake Hls, TX 78746
Phone (512) 329-8667

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1699868729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE G200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461487",
            "telephone_number": "512-329-8667",
            "fax_number": "512-327-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 N CAPITAL OF TEXAS HWY STE G200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787461487",
            "telephone_number": "512-329-8667",
            "fax_number": "512-327-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "SANSING",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-329-8667",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "18867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTHWEST HILLS AT DAVENPORT",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHWEST HILLS AT DAVENPORT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.