Provider Demographics
NPI:1235005810
Name:HIGGINS, MASON (CPHT-ADV, CMA (AAMA))
Entity type:Individual
Prefix:MR
First Name:MASON
Middle Name:
Last Name:HIGGINS
Suffix:
Gender:M
Credentials:CPHT-ADV, CMA (AAMA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:269 LITTLE MTN CH RD EXT
Mailing Address - Street 2:
Mailing Address - City:NORTH WILKESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28659-8633
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:269 LITTLE MTN CH RD EXT
Practice Address - Street 2:
Practice Address - City:NORTH WILKESBORO
Practice Address - State:NC
Practice Address - Zip Code:28659-8633
Practice Address - Country:US
Practice Address - Phone:336-926-8334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC30221652183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician