Active NPI
Heather Scullin Schulze, PHARM D
- Pharmacist
- Dyersburg, TN
National Provider Identifier
1376892059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 19888
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 72760 | CA | MD | Pharmacist |
| 19888 | LA | MD | Pharmacist |
| 42747 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrifty Payless Inc | Past | Accepting new patients | |
| Tennessee CVS Pharmacy, L.L.C. | Past | Accepting new patients | |
| Thrifty Payless Inc | Past | Accepting new patients | |
| Tennessee CVS Pharmacy LLC | Past | 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.
-
- Pharmacy
- Dyersburg, TN
- NPI 1073997177
-
- Pharmacy
- Sevierville, TN
- NPI 1891524815
-
- Community/Retail Pharmacy
- Winchester, CA
- NPI 1437874062
-
- Community/Retail Pharmacy
- San Diego, CA
- NPI 1730195025
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.