Active NPI
Robert W Heverly, RPH
- Pharmacist
- Montoursville, PA
National Provider Identifier
1306283965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP039014L
- Practice address
- 760 Broad St
Montoursville, PA 17754-2419 - Phone
- (570) 368-2629
- Fax
- (570) 368-7435
- NPI assigned
- May 22, 2013
- 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 | RP039014L | PA | Primary |
Addresses
Primary practice location
760 Broad St
Montoursville, PA 17754-2419
Mailing address
760 Broad St
Montoursville, PA 17754-2419
Phone (570) 368-2629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP039014L | Other | PA | PA PHARMACY LICENSE |
| RPI005219 | Other | PA | PA IMMUNIZATION LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| RP039014L | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrift Drug Inc | Past | Accepting new patients | |
| Thrift Drug 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 and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Montoursville, PA
- NPI 1437259884
-
- Community/Retail Pharmacy
- Hamburg, NJ
- NPI 1114026341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1306283965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "760 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542419",
"telephone_number": "570-368-2629",
"fax_number": "570-368-7435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "760 BROAD ST",
"city": "MONTOURSVILLE",
"state": "PA",
"postal_code": "177542419",
"telephone_number": "570-368-2629",
"fax_number": "570-368-7435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEVERLY",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP039014L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA PHARMACY LICENSE",
"identifier": "RP039014L",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA IMMUNIZATION LICENSE",
"identifier": "RPI005219",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montoursville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.