Active NPI
Michael A Heltzel, PHARMD
- Pharmacist
- Webster Groves, MO
National Provider Identifier
1396358339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2014026873
- Practice address
- 8571 Watson Rd
Webster Groves, MO 63119-5291 - Phone
- (314) 962-5545
- NPI assigned
- Aug 28, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2014026873 | MO | Primary |
Addresses
Primary practice location
8571 Watson Rd
Webster Groves, MO 63119-5291
Mailing address
8571 Watson Rd
Webster Groves, MO 63119-5218
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | rph.07680@walgreens.com | Direct | |
| CONNECT URL | rxm.07680@store.walgreens.com | Direct | WALGREEN CO |
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 |
|---|---|---|---|
| 2014026873 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609027200000",
"number": "1396358339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8571 WATSON RD",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631195218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8571 WATSON RD",
"city": "WEBSTER GROVES",
"state": "MO",
"postal_code": "631195291",
"telephone_number": "314-962-5545"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELTZEL",
"first_name": "MICHAEL",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-08-28",
"last_updated": "2020-12-27",
"certification_date": "2020-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2014026873",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "rph.07680@walgreens.com",
"affiliation": "N",
"endpointDescription": "pharmacy email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8571 Watson Rd",
"city": "Webster Groves",
"state": "MO",
"country_code": "US",
"postal_code": "631195218",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "rxm.07680@store.walgreens.com",
"affiliation": "Y",
"affiliationName": "WALGREEN CO",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "8571 Watson Rd",
"city": "Webster Groves",
"state": "MO",
"country_code": "US",
"postal_code": "631195291",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Webster Groves, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.