Active NPI
Russell Heaton, PHARMD
- Pharmacist
- Yakima, WA
National Provider Identifier
1245309988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH00039557
- Practice address
- 2601 Commerce LN
Yakima, WA 98901-5801 - Phone
- (886) 983-9279
- Fax
- (877) 856-9819
- NPI assigned
- Nov 7, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH00039557 | WA | Primary |
Addresses
Primary practice location
2601 Commerce LN
Yakima, WA 98901-5801
Mailing address
3919 N Maple St
Spokane, WA 99205-1349
Phone (509) 444-8888
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 |
|---|---|---|---|
| PH00039557 | WA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652832000000",
"number": "1245309988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3919 N MAPLE ST",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992051349",
"telephone_number": "509-444-8888",
"fax_number": "509-444-7806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 COMMERCE LN",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989015801",
"telephone_number": "886-983-9279",
"fax_number": "877-856-9819"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATON",
"first_name": "RUSSELL",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH00039557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.