NPIMap

Organization Active NPI

Highland Pharmacy Inc.

  • Durable Medical Equipment & Medical Supplies
  • Glasgow, KY
National Provider Identifier
1710308408
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
P07492 Issued in KY
Legal business name
HIGHLAND PHARMACY INC.
Practice address
301 Rogers Rd
Glasgow, KY 42141-4110
Phone
(270) 629-4300
NPI assigned
Dec 23, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
Dr. Travis Hudnall, R.PH
Title
Owner
Phone
(270) 651-5159

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X P07492 KY Primary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X P07492 KY
Oxygen Equipment & Supplies (DME) 332BX2000X P07492 KY

Addresses

Primary practice location

301 Rogers Rd
Glasgow, KY 42141-4110

Mailing address

PO Box 1778
Glasgow, KY 42142-1778

Other identifiers 1

IdentifierTypeStateIssuer
7100186050MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Highland Pharmacy Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1710308408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1778",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421421778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ROGERS RD",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421414110",
            "telephone_number": "270-629-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "HUDNALL",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-651-5159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "P07492",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KY",
            "license": "P07492",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KY",
            "license": "P07492",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100186050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2013; 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.