Organization Active NPI

Healthy Society LLC

Doing business as High Street Pharmacy

  • Community/Retail Pharmacy
  • Mount Holly, NJ
National Provider Identifier
1902138225
Registry record updated Apr 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
28RS00701400 Issued in NJ
Legal business name
HEALTHY SOCIETY LLC
Doing business as
High Street Pharmacy
Practice address
22 High St
Mount Holly, NJ 08060-1702
Phone
(609) 267-6000
Fax
(609) 267-6550
NPI assigned
Feb 11, 2010
Last updated
Apr 8, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY SOCIETY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 8, 2023

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

Authorized official

Name
Sandhya Yarlagadda, PHARMACISTNPI 1356753099
Title
Pharmacist in Charge
Phone
(732) 425-4842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 28RS00701400 NJ Primary

Addresses

Primary practice location

22 High St
Mount Holly, NJ 08060-1702

Mailing address

22 High St
Mount Holly, NJ 08060-1702
Phone (609) 267-6000

Other identifiers 1

IdentifierTypeStateIssuer
2123950OtherPK

Other names 1

  • High Street Pharmacy Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230617000239 NJ DME Supplier - Pharmacy 6608234968 Practice locations: Mount Holly, NJ

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Healthy Society LLC22 High St, Mount Holly, NJ 08060-1702(609) 267-6000 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Dec 13, 2022

National Provider Directory

National Provider Directory
Part of
Healthy Society LLC

Locations

22 High St
Mount Holly, NJ 08060
Phone (609) 267-6000

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": "1265846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680912000000",
    "number": "1902138225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601702",
            "telephone_number": "609-267-6000",
            "fax_number": "609-267-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HIGH ST",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080601702",
            "telephone_number": "609-267-6000",
            "fax_number": "609-267-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SOCIETY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY SOCIETY LLC",
        "enumeration_date": "2010-02-11",
        "last_updated": "2023-04-08",
        "certification_date": "2023-04-08",
        "status": "A",
        "authorized_official_last_name": "YARLAGADDA",
        "authorized_official_first_name": "SANDHYA",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "732-425-4842",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00701400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123950",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Holly, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2023; 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.