Organization Active NPI

Pharmacy Capital LLC

Doing business as Highland Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Albuquerque, NM
National Provider Identifier
1730383548
Registry record updated May 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PHARMACY CAPITAL LLC
Doing business as
Highland Pharmacy
Practice address
717 Encino PL NE
Ste 1
Albuquerque, NM 87102-2611
Phone
(505) 243-2010
Fax
(505) 242-3216
NPI assigned
Jun 14, 2007
Last updated
May 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2016

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

Authorized official

Name
Teri Rolan, PHARM D
Title
Director of Pharmacy
Phone
(505) 243-2011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

717 Encino PL NE
Ste 1
Albuquerque, NM 87102-2611

Mailing address

717 Encino PL NE
Ste 1
Albuquerque, NM 87102-2611
Phone (505) 243-2010

Other identifiers 1

IdentifierTypeStateIssuer
PH4108OtherNMPHARMACY LICENSE

Other names 1

  • Highland Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bestcare Highland LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

717 Encino Pl NE
Ste 1
Albuquerque, NM 87102
Phone (505) 243-2010

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1730383548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-243-2010",
            "fax_number": "505-242-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 ENCINO PL NE",
            "address_2": "STE 1",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871022611",
            "telephone_number": "505-243-2010",
            "fax_number": "505-242-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "ROLAN",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "505-243-2011",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE",
            "identifier": "PH4108",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.