Individual provider Active NPI

Heather Scullin Schulze, PHARM D

  • Pharmacist
  • Dyersburg, TN
National Provider Identifier
1376892059
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19888 Issued in LA
Practice address
2300 Lake Rd
Dyersburg, TN 38024-1830
Phone
(731) 285-3999
NPI assigned
Sep 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 42747 TN
Pharmacist 183500000X 19888 LA Primary
Pharmacist 183500000X 72760 CA

Addresses

Primary practice location

2300 Lake Rd
Dyersburg, TN 38024-1830

Mailing address

2300 Lake Rd
Dyersburg, TN 38024-1830
Phone (731) 285-3999

Other practice location 1

535 Robinson Ave
San Diego, CA 92103-4209
Phone (619) 291-3705

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
72760CAMDPharmacist
19888LAMDPharmacist
42747TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrifty Payless Inc Past Accepting new patients
Tennessee CVS Pharmacy, L.L.C. PastSince Nov 22, 2020 Accepting new patients
Thrifty Payless Inc Past Accepting new patients
Tennessee CVS Pharmacy LLC PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 4

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": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1376892059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241830",
            "telephone_number": "731-285-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 LAKE RD",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241830",
            "telephone_number": "731-285-3999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "535 Robinson Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921034209",
            "country_code": "US",
            "telephone_number": "619-291-3705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHULZE",
        "first_name": "HEATHER",
        "middle_name": "SCULLIN",
        "name_prefix": "Ms.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "42747",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "19888",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "72760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; 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.