Active NPI
Donald Gene Heffelmire, R.PH.
- Pharmacist
- Tucson, AZ
National Provider Identifier
1104018076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026410
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| S026410 | AZ | MD | Pharmacist |
| 051.287000 | IL | MD | Pharmacist |
| 26019546A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | 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.
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-
- Pharmacy
- Cedar Lake, IN
- NPI 1770598815
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.