Organization Active NPI

Heartland Medical and Home Health Inc

  • Compounding Pharmacy
  • Elk City, OK
National Provider Identifier
1083764401
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
35-4534 Issued in OK
Legal business name
HEARTLAND MEDICAL AND HOME HEALTH INC
Practice address
121 N Main St
Elk City, OK 73644-4751
Phone
(580) 243-5551
Fax
(580) 243-5552
NPI assigned
Jan 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sherri Elaine Schreck
Title
Owner
Phone
(580) 243-5551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 35-4534 OK Primary

Addresses

Primary practice location

121 N Main St
Elk City, OK 73644-4751

Mailing address

121 N Main St
Elk City, OK 73644-4751
Phone (580) 243-5551

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083764401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444751",
            "telephone_number": "580-243-5551",
            "fax_number": "580-243-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736444751",
            "telephone_number": "580-243-5551",
            "fax_number": "580-243-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL AND HOME HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHRECK",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-243-5551"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OK",
            "license": "35-4534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.