Individual provider Active NPI

Heba Labib Kaldas, BS

  • Pharmacist
  • Augusta, GA
National Provider Identifier
1316031990
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
019712 Issued in GA
Practice address
3087 Westwood Road
Augusta, GA 30909
Phone
(706) 736-2093
Fax
(706) 359-5734
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 019712 GA Primary

Addresses

Primary practice location

3087 Westwood Road
Augusta, GA 30909

Mailing address

P O Box 368
114 Main Street
Lincolnton, GA 30817
Phone (706) 359-1836

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
019712GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharma-Serv Inc Past Accepting new patients
Summerville Pharmacy Past Accepting new patients
Pharma-Serv Inc PastSince Nov 24, 2024 Accepting new patients

Organizations & group practices 3

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316031990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 368",
            "address_2": "114 MAIN STREET",
            "city": "LINCOLNTON",
            "state": "GA",
            "postal_code": "30817",
            "telephone_number": "706-359-1836",
            "fax_number": "706-359-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 WESTWOOD ROAD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-736-2093",
            "fax_number": "706-359-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALDAS",
        "first_name": "HEBA",
        "middle_name": "LABIB",
        "credential": "BS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "019712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.