NPIMap

Individual provider Active NPI

Heather Marie Cardona, RPH.

  • Pharmacist
  • Brockton, MA
National Provider Identifier
1306165238
Registry record updated Jun 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
23619 Issued in MA
Practice address
1123 Pearl St
Pharmerica
Brockton, MA 02301-5406
Phone
(508) 427-5000
Fax
(508) 584-2281
NPI assigned
May 17, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 23619 MA Primary

Addresses

Primary practice location

1123 Pearl St
Pharmerica
Brockton, MA 02301-5406

Mailing address

1123 Pearl St
Pharmerica
Brockton, MA 02301-5406
Phone (508) 427-5006

Other identifiers 1

IdentifierTypeStateIssuer
23619OtherMAPHARMACY LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL N/A

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
23619MAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Corporation of America Past Accepting new patients
Pharmacy Corporation of America 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561593600000",
    "number": "1306165238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 PEARL ST",
            "address_2": "PHARMERICA",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015406",
            "telephone_number": "508-427-5006",
            "fax_number": "508-584-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 PEARL ST",
            "address_2": "PHARMERICA",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015406",
            "telephone_number": "508-427-5000",
            "fax_number": "508-584-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONA",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2019-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "23619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "23619",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "address_1": "1123 Pearl St",
            "address_2": "PharMerica",
            "city": "Brockton",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023015406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brockton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.