Active NPI
Joshua Hevener, PHARMD
- Pharmacist
- Stoughton, MA
National Provider Identifier
1174976054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PHA.0021786
- Practice address
- 100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749 - Phone
- (316) 210-2069
- NPI assigned
- Jul 15, 2016
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18562-40 | WI | |
| Pharmacist | 183500000X | PH60774694 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 8069 | NE | |
| Pharmacist | 183500000X | PHA.0021786 | CO | Primary |
Addresses
Primary practice location
100 Technology Center Dr Ste 600
Stoughton, MA 02072-4749
Mailing address
34617 11TH PL S Ste 301
Federal Way, WA 98003-8706
Phone (316) 210-2069
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8069 | NE | MD | General Practice Dentistry |
| PHA.0021786 | CO | MD | Pharmacist |
| PH60774694 | WA | MD | Pharmacist |
| 18562-40 | WI | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468540800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1174976054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34617 11TH PL S STE 301",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980038706",
"telephone_number": "316-210-2069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 TECHNOLOGY CENTER DR STE 600",
"city": "STOUGHTON",
"state": "MA",
"postal_code": "020724749",
"telephone_number": "316-210-2069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEVENER",
"first_name": "JOSHUA",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-15",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "18562-40",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60774694",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NE",
"license": "8069",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CO",
"license": "PHA.0021786",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stoughton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.