Active NPI
Heather Mitchell
- Pharmacist
- Mocksville, NC
National Provider Identifier
1447645981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18962
- Practice address
- 495 Valley Rd
Mocksville, NC 27028-2074 - Phone
- (336) 751-2141
- NPI assigned
- Apr 1, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18962 | NC | Primary |
Addresses
Primary practice location
495 Valley Rd
Mocksville, NC 27028-2074
Mailing address
495 Valley Rd
Mocksville, NC 27028-2074
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0305086 | Medicaid | NC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18962 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foster Drug Co Inc | Pharmacist | Past | Accepting new patients |
| Foster Drug of Mocksville | 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.
-
- Pharmacist
- Mocksville, NC
- NPI 1346632825
-
- Community/Retail Pharmacy
- Mocksville, NC
- NPI 1386700268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427846400000",
"number": "1447645981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 VALLEY RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "495 VALLEY RD",
"city": "MOCKSVILLE",
"state": "NC",
"postal_code": "270282074",
"telephone_number": "336-751-2141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-01",
"last_updated": "2015-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "18962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0305086",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mocksville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.