Active NPI
Heather Crystal Seargeant, BSP
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Willits, CA
National Provider Identifier
1215304019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- RPH-00017866
- Practice address
- 845 S Main St
Willits, CA 95490-3915 - Phone
- (707) 456-1790
- Fax
- (707) 456-1794
- NPI assigned
- Aug 27, 2015
- Last updated
- Nov 26, 2021
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | RPH-00017866 | OR | Primary |
Addresses
Primary practice location
845 S Main St
Willits, CA 95490-3915
Mailing address
12525 SE Easthampton St
Clackamas, OR 97015-8622
Phone (707) 841-1142
Other practice location 1
1839 Molalla Ave
Oregon City, OR 97045-4071
Phone (503) 656-6226
Other names 1
- Miss Heather Crystal Miner
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 |
|---|---|---|---|
| RPH-00017866 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637884800000",
"number": "1215304019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12525 SE EASTHAMPTON ST",
"city": "CLACKAMAS",
"state": "OR",
"postal_code": "970158622",
"telephone_number": "707-841-1142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "845 S MAIN ST",
"city": "WILLITS",
"state": "CA",
"postal_code": "954903915",
"telephone_number": "707-456-1790",
"fax_number": "707-456-1794"
}
],
"practiceLocations": [
{
"address_1": "1839 Molalla Ave",
"address_purpose": "LOCATION",
"city": "Oregon City",
"state": "OR",
"postal_code": "970454071",
"country_code": "US",
"telephone_number": "503-656-6226",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEARGEANT",
"first_name": "HEATHER",
"middle_name": "CRYSTAL",
"name_prefix": "Ms.",
"credential": "BSP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-27",
"last_updated": "2021-11-26",
"certification_date": "2021-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "OR",
"license": "RPH-00017866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "MINER",
"middle_name": "CRYSTAL",
"prefix": "MISS",
"credential": "BSP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Willits, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.