Active NPI
Baleigh Heits
- Pharmacist
- Mound City, MO
National Provider Identifier
1174309249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2019035645
- Practice address
- 607 State St
Mound City, MO 64470-1146 - Phone
- (660) 442-3355
- Fax
- (660) 442-3129
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- 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 | 2019035645 | MO | Primary |
Addresses
Primary practice location
607 State St
Mound City, MO 64470-1146
Mailing address
607 State St
Mound City, MO 64470-1146
Phone (660) 442-3355
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019035645 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693872000000",
"number": "1174309249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 STATE ST",
"city": "MOUND CITY",
"state": "MO",
"postal_code": "644701146",
"telephone_number": "660-442-3355",
"fax_number": "660-442-3129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 STATE ST",
"city": "MOUND CITY",
"state": "MO",
"postal_code": "644701146",
"telephone_number": "660-442-3355",
"fax_number": "660-442-3129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITS",
"first_name": "BALEIGH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-05",
"last_updated": "2023-09-05",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2019035645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mound City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.