Blue Drug Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46487 Issued in CA

Legal business name

BLUE DRUG INC

Practice address

707 S Dora St
Ukiah, CA 95482-5335

Phone

(707) 468-8707

Fax

(775) 640-8755

NPI assigned

Apr 28, 2006

Last updated

Aug 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Heinberg, RPH

Title

President

Phone

(707) 468-4333

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Heimberg, RPH

  • Ambulatory Care Pharmacist
  • Ukiah, CA
  • NPI 1649921578
  NPD

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1306803614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954820074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S DORA ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954825335",
            "telephone_number": "707-468-8707",
            "fax_number": "775-640-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "HEINBERG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-468-4333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "5600906",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA464870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alyson R Blair, MHRS
• Blessings Birth Center
• Noah Block
• Shakuntala Blomquist
• Bloom Waterbirth and Wellness Center
• Ernest Richard Blumberg, LMFT
• Marla Boelter
• Steven Robert Boettger, D. D. S.
• Sara Bogner, M.S., P.T.
• Ellen Rae Bogue, RN

• Community/Retail Pharmacy in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; 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.