Active NPI
Carl Hefner, RPH
- Pharmacist
- Ozark, MO
National Provider Identifier
1124430533
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 28798
- Practice address
- 1475 W South St
Ozark, MO 65721-7329 - Phone
- (417) 860-7424
- NPI assigned
- May 20, 2014
- Last updated
- May 20, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 28798 | MO | Primary |
Addresses
Primary practice location
1475 W South St
Ozark, MO 65721-7329
Mailing address
378 Persimmon Rd
Ozark, MO 65721-8164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28798 | Other | MO | REGISTERED PHARMACIST |
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 |
|---|---|---|---|
| 28798 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400544000000",
"number": "1124430533",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "378 PERSIMMON RD",
"city": "OZARK",
"state": "MO",
"postal_code": "657218164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 W SOUTH ST",
"city": "OZARK",
"state": "MO",
"postal_code": "657217329",
"telephone_number": "417-860-7424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEFNER",
"first_name": "CARL",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-05-20",
"last_updated": "2014-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "28798",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED PHARMACIST",
"identifier": "28798",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ozark, MO
- Haven Physical Therapy
- Haven Physical Therapy LLC
- Haven Speech and Swallow Specialists
- Joan Marie Hawkins, PSYD
- Healthdirect Institutional Pharmacy Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc. #147)
- Jessica Lynn Hendrickson, LPC
- Harper Grace Henson, M.S., SLP-CF
- Jeanine M Herrera, FNP
- Abbey Hibbert, FNP
- Nicolette M Hightower
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.