Active NPI
Nathan Heitz, PHARM. D
- Pharmacist
- Manchester, TN
National Provider Identifier
1265101539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 45449
- Practice address
- 806 McArthur St
Manchester, TN 37355-4426 - Phone
- (931) 728-0874
- NPI assigned
- Sep 9, 2021
- 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 | 45449 | TN | Primary |
Addresses
Primary practice location
806 McArthur St
Manchester, TN 37355-4426
Mailing address
730 Pantera Dr
Murfreesboro, TN 37128-5236
Phone (585) 766-4750
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 |
|---|---|---|---|
| 45449 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1631145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1265101539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "730 PANTERA DR",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371285236",
"telephone_number": "585-766-4750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "806 MCARTHUR ST",
"city": "MANCHESTER",
"state": "TN",
"postal_code": "373554426",
"telephone_number": "931-728-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEITZ",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "PHARM. D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-09",
"last_updated": "2021-09-09",
"certification_date": "2021-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "45449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.