Heather Jukanovic

Primary specialty

PharmacistTaxonomy code 183500000X

License

03233496 Issued in OH

Practice address

8515 Tanglewood SQ
Chagrin Falls, OH 44023-6460

Phone

(440) 708-1277

Fax

(440) 708-1280

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Riser Foods Company

  • Community/Retail Pharmacy
  • Chagrin Falls, OH
  • NPI 1144235060
  NPD (past)
• Riser Foods Company

  • Community/Retail Pharmacy
  • Cambridge, OH
  • NPI 1225927155
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1477215796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 TANGLEWOOD SQ",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236460",
            "telephone_number": "440-708-1277",
            "fax_number": "440-708-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 TANGLEWOOD SQ",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236460",
            "telephone_number": "440-708-1277",
            "fax_number": "440-708-1280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUKANOVIC",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03233496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan C Hollis PT, DSC, LLC
• Britt Marie Johnson, COTA/L
• Jones-Wood Psychological Associates, Inc.
• Curtis Jones
• Bethany Hannah Judd
• Allison B Jung, PA-C
• Ronald Kevin Jurcak, O.D.
• John E Kandare, AU.D.
• Kane & Dalessandro LLC
• Beth Kaplan, PT

• Pharmacist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.