Individual provider Active NPI

Heaven Lee Thomas, CPHT

  • Pharmacy Technician
  • Cumberland, MD
National Provider Identifier
1003674433
Registry record updated Mar 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
T23270 Issued in MD
Practice address
16117 McMullen Hwy SW
Cumberland, MD 21502-6207
Phone
(301) 729-2600
Fax
(301) 729-1982
NPI assigned
Mar 11, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X T23270 MD Primary

Addresses

Primary practice location

16117 McMullen Hwy SW
Cumberland, MD 21502-6207

Mailing address

PO Box 307
Rawlings, MD 21557-0307
Phone (240) 609-9696

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

State licenses

LicenseStateTypeSpecialty
T23270MDMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffs Pharmacy Inc CurrentSince Apr 21, 2024 Accepting new patients
Jeffs Pharmacy Inc PastSince Mar 17, 2024 Accepting new patients

Locations

16117 McMullen Hwy SW
Cumberland, MD 21502
Phone (301) 729-2600

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1003674433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "RAWLINGS",
            "state": "MD",
            "postal_code": "215570307",
            "telephone_number": "240-609-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16117 MCMULLEN HWY SW",
            "city": "CUMBERLAND",
            "state": "MD",
            "postal_code": "215026207",
            "telephone_number": "301-729-2600",
            "fax_number": "301-729-1982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "HEAVEN",
        "middle_name": "LEE",
        "credential": "CPHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MD",
            "license": "T23270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumberland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.