MEDICARE: HEIGHTS PHARMACY GROUP INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1578449419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEIGHTS PHARMACY GROUP INC.

Provider Business Mailing Address
First Line	:	4520 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-4900
Country	:	US
Telephone Number	:	646-329-5533
Fax Number	:	646-370-6491

Provider Business Practice Location Address
First Line	:	4520 BROADWAY
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10040-4900
Country	:	US
Telephone Number	:	646-329-5533
Fax Number	:	646-370-6491

Authorized Official
Title or Position	:	OWNER
Name	:	NATHAN KAPLAN
Credential	:
Telephone Number	:	646-329-5533

Provider Enumeration Date	:	08/14/2025
Last Update Date	:	06/12/2026

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