Individual provider Active NPI

Heather Joy Pendal, RPH, PHARMD

  • Pharmacist
  • Phoenixville, PA
National Provider Identifier
1104414606
Registry record updated Jan 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP045598L Issued in PA
Practice address
404 Lopata Rd
Phoenixville, PA 19460-6702
Phone
(717) 574-6119
NPI assigned
Jan 10, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP045598L PA Primary

Addresses

Primary practice location

404 Lopata Rd
Phoenixville, PA 19460-6702

Mailing address

404 Lopata Rd
Phoenixville, PA 19460-6702
Phone (717) 574-6119

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
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP045598LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1610236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610236800000",
    "number": "1104414606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 LOPATA RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606702",
            "telephone_number": "717-574-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 LOPATA RD",
            "city": "PHOENIXVILLE",
            "state": "PA",
            "postal_code": "194606702",
            "telephone_number": "717-574-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDAL",
        "first_name": "HEATHER",
        "middle_name": "JOY",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-10",
        "last_updated": "2021-01-10",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP045598L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenixville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2021; 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.