Individual provider Active NPI

Jessica Heiser, PHARMD

  • Pharmacist
  • Broken Arrow, OK
National Provider Identifier
1043704976
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17620 Issued in OK
Practice address
2530 N Elm PL
Broken Arrow, OK 74012-1285
Phone
(918) 994-1400
Fax
(918) 994-6522
NPI assigned
Jun 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17620 OK Primary

Addresses

Primary practice location

2530 N Elm PL
Broken Arrow, OK 74012-1285

Mailing address

2530 N Elm PL
Broken Arrow, OK 74012-1285
Phone (918) 994-1400

Other practice location 1

6136 E 51st St
Tulsa, OK 74135-7704
Phone (918) 304-8119

Other practice location 2

6136 E 51st St
Tulsa, OK 74135-7704
Phone (918) 665-2003

Other practice location 3

2516 E 15th St
Tulsa, OK 74104-4621
Phone (918) 728-6420

Other practice location 4

6214 S Sheridan Rd
Tulsa, OK 74133-4055
Phone (918) 940-6767

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
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17620OKMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carefirst Pharmacy Tulsa, Inc. Past Accepting new patients
Carefirst Pharmacy Tulsa Inc Past Accepting new patients
CFP Acquisitions, Inc. Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1043704976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2530 N ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121285",
            "telephone_number": "918-994-1400",
            "fax_number": "918-994-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 N ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740121285",
            "telephone_number": "918-994-1400",
            "fax_number": "918-994-6522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6136 E 51st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741357704",
            "country_code": "US",
            "telephone_number": "918-304-8119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6136 E 51st St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741357704",
            "country_code": "US",
            "telephone_number": "918-665-2003",
            "fax_number": "918-748-8093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2516 E 15th St",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741044621",
            "country_code": "US",
            "telephone_number": "918-728-6420",
            "fax_number": "918-728-7002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6214 S Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741334055",
            "country_code": "US",
            "telephone_number": "918-940-6767",
            "fax_number": "918-940-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEISER",
        "first_name": "JESSICA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "17620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broken Arrow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.