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HIGHLAND PARK DRUG STORE INC NPI 1649410770


NPI Information

NPI: 1649410770
Provider Name: HIGHLAND PARK DRUG STORE INC

Doing Business As: NORTHWEST HILLS PHARMACY LTC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 45D2198617

Address:
3801 N CAPITAL OF TEXAS HWY # G205
AUSTIN, TX
ZIP 78746
Phone: (512) 617-0993
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HIGHLAND PARK DRUG STORE INC is a long term care pharmacy pharmacy in Austin, TX. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. HIGHLAND PARK DRUG STORE INC NPI is 1649410770. The provider is registered as an organization entity type.
The provider Is Doing Business As Northwest Hills Pharmacy Ltc.

The provider's business location address is:

3801 N CAPITAL OF TEXAS HWY # G205
AUSTIN, TX
ZIP 78746-416
Phone: (512) 617-0993
Fax: (512) 617-0995

The provider's authorized official is Tom Sansing .
The authorized official title is President and has the following contact phone number (512) 617-0993.

The CLIA number assigned to this NPI record is 45D2198617 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/3/2009 and was last updated on 7/19/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care Pharmacy26326TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12119221OTHERPK
2350220MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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