Individual provider Active NPI

Heath Eisenbarth, PHARMD

  • Pharmacist
  • Westmoreland, KS
National Provider Identifier
1114479896
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-100143 Issued in KS
Practice address
402 Main St
Box 353
Westmoreland, KS 66549-9836
Phone
(785) 457-3611
Fax
(785) 457-3622
NPI assigned
Oct 28, 2016
Last updated
Oct 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-100143 KS Primary

Addresses

Primary practice location

402 Main St
Box 353
Westmoreland, KS 66549-9836

Mailing address

402 Main St
Box 353
Westmoreland, KS 66549-9836
Phone (785) 457-3611

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

State licenses

LicenseStateTypeSpecialty
1-100143KSMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1114479896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "address_2": "BOX 353",
            "city": "WESTMORELAND",
            "state": "KS",
            "postal_code": "665499836",
            "telephone_number": "785-457-3611",
            "fax_number": "785-457-3622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 MAIN ST",
            "address_2": "BOX 353",
            "city": "WESTMORELAND",
            "state": "KS",
            "postal_code": "665499836",
            "telephone_number": "785-457-3611",
            "fax_number": "785-457-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBARTH",
        "first_name": "HEATH",
        "name_prefix": "Mr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-100143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmoreland, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.