NPIMap

Individual provider Active NPI

Heidi Lynn Tartal, RPH

  • Pharmacist
  • Concord, NC
National Provider Identifier
1346575172
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17144 Issued in NC
Practice address
735 Cabarrus Ave W
Concord, NC 28027-6850
Phone
(704) 723-9463
Fax
(704) 723-9798
NPI assigned
Oct 13, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17144 NC Primary

Addresses

Primary practice location

735 Cabarrus Ave W
Concord, NC 28027-6850

Mailing address

735 Cabarrus Ave W
Concord, NC 28027-6850
Phone (704) 723-9463

Other identifiers 1

IdentifierTypeStateIssuer
0135830MedicaidNC

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
17144NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255392000000",
    "number": "1346575172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276850",
            "telephone_number": "704-723-9463",
            "fax_number": "704-723-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280276850",
            "telephone_number": "704-723-9463",
            "fax_number": "704-723-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAL",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "17144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0135830",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.