Individual provider Active NPI

Donald Gene Heffelmire, R.PH.

  • Pharmacist
  • Tucson, AZ
National Provider Identifier
1104018076
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S026410 Issued in AZ
Practice address
2929 W Valencia Rd
Tucson, AZ 85746-8036
Phone
(520) 578-0138
Fax
(520) 578-0319
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051.287000 IL
Pharmacist 183500000X 26019546A IN
Pharmacist 183500000X S026410 AZ Primary

Addresses

Primary practice location

2929 W Valencia Rd
Tucson, AZ 85746-8036

Mailing address

2929 W Valencia Rd
Tucson, AZ 85746-8036
Phone (520) 578-0138

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
S026410AZMDPharmacist
051.287000ILMDPharmacist
26019546AINMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co PastSince Dec 1, 2022 Accepting new patients
Walgreen Co PastSince Dec 1, 2022 Accepting new patients

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": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1104018076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2929 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857468036",
            "telephone_number": "520-578-0138",
            "fax_number": "520-578-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2929 W VALENCIA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857468036",
            "telephone_number": "520-578-0138",
            "fax_number": "520-578-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFELMIRE",
        "first_name": "DONALD",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.287000",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26019546A",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S026410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.