Lisa Heisey
Individual provider Active NPI Pharmacist · Thurmont, MD
NPI 1154890986 · NPPES record last updated Nov 22, 2018
Key facts
- NPI
- 1154890986
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 19207 (MD)
- Practice address
- 2 Thurmont Blvd
Thurmont, MD 21788-2000 - Phone
- (301) 271-2548
- NPI assigned
- Nov 22, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19207 | MD | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 19207 | MD | Yes |
Addresses
Primary practice location
2 Thurmont Blvd
Thurmont, MD 21788-2000
Mailing address
239 Longstreet Dr
Gettysburg, PA 17325-8919
Phone (301) 908-1413
Other providers in Thurmont, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.