Active NPI
John William Hightower III, RPH
- Pharmacist
- San Francisco, CA
National Provider Identifier
1891072088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 36112
- Practice address
- 2120 Polk St
San Francisco, CA 94109-2507 - Phone
- (415) 474-9752
- Fax
- (415) 474-0631
- NPI assigned
- Nov 15, 2011
- Last updated
- Nov 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 36112 | CA | Primary |
| Pharmacist | 183500000X | 13992 | FL |
Addresses
Primary practice location
2120 Polk St
San Francisco, CA 94109-2507
Mailing address
2360 Bay St
San Francisco, CA 94123-1809
Phone (415) 608-0673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36112 | CA | MD | Pharmacist |
| 13992 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1891072088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2360 BAY ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941231809",
"telephone_number": "415-608-0673",
"fax_number": "415-474-0631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 POLK ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941092507",
"telephone_number": "415-474-9752",
"fax_number": "415-474-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGHTOWER",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_suffix": "III",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "36112",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "13992",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.