Active NPI
William A. Hefner Jr., RPH
- Pharmacist
- Mesa, AZ
National Provider Identifier
1104177211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- SO14057
- Practice address
- 1444 S Sossaman Rd
Mesa, AZ 85209-3400 - Phone
- (480) 333-6559
- Fax
- (480) 333-6556
- NPI assigned
- Sep 28, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | SO14057 | AZ | Primary |
| Pharmacist | 183500000X | 6699 | AL |
Addresses
Primary practice location
1444 S Sossaman Rd
Mesa, AZ 85209-3400
Mailing address
1444 S Sossaman Rd
Mesa, AZ 85209-3400
Phone (480) 333-6559
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 |
|---|---|---|---|
| 6699 | AL | MD | General Practice Dentistry |
| SO14057 | AZ | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348790400000",
"number": "1104177211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 S SOSSAMAN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093400",
"telephone_number": "480-333-6559",
"fax_number": "480-333-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 S SOSSAMAN RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852093400",
"telephone_number": "480-333-6559",
"fax_number": "480-333-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFNER",
"first_name": "WILLIAM",
"middle_name": "A.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-28",
"last_updated": "2012-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "SO14057",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AL",
"license": "6699",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.