Highland Community Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

HIGHLAND COMMUNITY PHARMACY INC

Practice address

1689 E Highland Ave Ste B
San Bernardino, CA 92404-4615

Phone

(909) 907-7915

Fax

(909) 907-7916

NPI assigned

Jan 12, 2016

Organization subpart

No

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

Authorized official

Name

Premal Patel

Title

Owner

Phone

(909) 907-7915

Specialties & licenses 1

Addresses

Other names 1

• Highland Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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

{
    "created_epoch": "1452556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735603200000",
    "number": "1811353469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 E HIGHLAND AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044615",
            "telephone_number": "909-907-7915",
            "fax_number": "909-907-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1689 E HIGHLAND AVE STE B",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044615",
            "telephone_number": "909-907-7915",
            "fax_number": "909-907-7916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-12",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PREMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-907-7915"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Elise Hiday
• Javarri Rashad Hides
• Jordan Koji Higa, DDS
• Rhonda Q Higgins
• Taylor Linnea Ann Higgins
• Mark A Hilado
• Lakina Gianna Hill-Stephenson
• Emily Hill, PT
• Faith Hill
• Gwendolyn Lugene Hill, PSYCH TECH

• Community/Retail Pharmacy in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.