Active NPI
Rachel Heinaman, CPHT
- Pharmacy Technician
- Lebanon, PA
National Provider Identifier
1255924940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 30001137
- Practice address
- 800 S 12TH St
Lebanon, PA 17042-6903 - Phone
- (717) 273-8170
- Fax
- (717) 274-7526
- NPI assigned
- Feb 15, 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 30001137 | Primary |
Addresses
Primary practice location
800 S 12TH St
Lebanon, PA 17042-6903
Mailing address
127 Lighthouse Dr
Jonestown, PA 17038-8956
Phone (717) 644-8489
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30001137 | Other | PTCB | |
| 1186817 | Other | NABP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613347200000",
"number": "1255924940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 LIGHTHOUSE DR",
"city": "JONESTOWN",
"state": "PA",
"postal_code": "170388956",
"telephone_number": "717-644-8489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 S 12TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170426903",
"telephone_number": "717-273-8170",
"fax_number": "717-274-7526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINAMAN",
"first_name": "RACHEL",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-15",
"last_updated": "2021-02-15",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": null,
"license": "30001137",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTCB",
"identifier": "30001137",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "1186817",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.