Active NPI
Heather Leann Roberts, PHARMD, RPH
- Pharmacist
- Prescott Valley, AZ
National Provider Identifier
1477869113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S018035
- Practice address
- 2880 N Centre CT
Prescott Valley, AZ 86314-1203 - Phone
- (928) 772-4938
- NPI assigned
- Aug 18, 2010
- 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 | S018035 | AZ | Primary |
Addresses
Primary practice location
2880 N Centre CT
Prescott Valley, AZ 86314-1203
Mailing address
5700 Market St
Apartment 2053
Prescott Valley, AZ 86314-6512
Phone (520) 227-2416
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S018035 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
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
- Prescott Valley, AZ
- NPI 1699780957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1282089600000",
"number": "1477869113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 MARKET ST",
"address_2": "APARTMENT 2053",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863146512",
"telephone_number": "520-227-2416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2880 N CENTRE CT",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863141203",
"telephone_number": "928-772-4938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "HEATHER",
"middle_name": "LEANN",
"name_prefix": "Mrs.",
"credential": "PHARMD, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-18",
"last_updated": "2010-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S018035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.