Individual provider Active NPI

Heather Elizabeth Allen, PHARM.D

  • Pharmacist
  • Bentonville, AR
National Provider Identifier
1366737249
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10932 Issued in AR
Practice address
1800 E Centerton Blvd
Bentonville, AR 72712-9376
Phone
(479) 709-8941
Fax
(479) 709-8951
NPI assigned
Jun 18, 2011
Sex
Female
Sole proprietor
Yes

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
10932ARMDPharmacist
PD10932ARMDPharmacist

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PD10932 AR
Pharmacist 183500000X 10932 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1800 E Centerton Blvd
Bentonville, AR 72712-9376

Mailing address

1800 E Centerton Blvd
Bentonville, AR 72712-9376
Phone (479) 709-8941

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 24, 2024.

{
    "created_epoch": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1366737249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E CENTERTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129376",
            "telephone_number": "479-709-8941",
            "fax_number": "479-795-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E CENTERTON BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727129376",
            "telephone_number": "479-709-8941",
            "fax_number": "479-709-8951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "HEATHER",
        "middle_name": "ELIZABETH",
        "credential": "PHARM.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-18",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD10932",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.