Individual provider Active NPI

Heather Crystal Seargeant, BSP

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Willits, CA
National Provider Identifier
1215304019
Registry record updated Nov 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
RPH-00017866 Issued in OR
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
RPH-00017866ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.