Brian Heaney, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

MO004726 Issued in MO

Practice address

7909 Highway N
Dardenne Prairie, MO 63368-7382

Phone

(636) 561-8450

NPI assigned

Dec 31, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053950626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BIG COUNTRY CIR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633688080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 HIGHWAY N",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633687382",
            "telephone_number": "636-561-8450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "BRIAN",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2023-11-27",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "MO004726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "schnucks.com",
            "affiliation": "Y",
            "affiliationName": "Missouri CVS Pharmacy, L.L.C.",
            "address_1": "7909 Highway N",
            "city": "Dardenne Prairie",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633687382",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pharmacist in Dardenne Prairie, MO
• Providers in Dardenne Prairie, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.