Heartland Family Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

P07649 Issued in KY

Legal business name

HEARTLAND FAMILY PHARMACY LLC

Doing business as

Heartland Family Pharmacy

Practice address

134 Sugar Maple Dr
Suite a
Auburn, KY 42206

Phone

(270) 847-4004

Fax

(270) 847-4005

NPI assigned

Sep 17, 2014

Last updated

Jun 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott YatesNPI 1356851232

Title

Owner/Pharmacist

Phone

(270) 725-7504

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heartland Family Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in KY2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Yates, PHARMD

  • Pharmacist
  • Russellville, KY
  • NPI 1356851232
  NPD Authorized official
• Amanda Dooley, PHARM.D

  • Pharmacist
  • Mount Juliet, TN
  • NPI 1275918534
  NPD
• Kristina M Wimpee, PHARMD

  • Pharmacist
  • Auburn, KY
  • NPI 1881138428
  NPD (past)

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

{
    "created_epoch": "1410912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530144000000",
    "number": "1477955888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 467",
            "city": "AUBURN",
            "state": "KY",
            "postal_code": "422060467",
            "telephone_number": "270-847-4004",
            "fax_number": "270-847-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 SUGAR MAPLE DR",
            "address_2": "SUITE A",
            "city": "AUBURN",
            "state": "KY",
            "postal_code": "42206",
            "telephone_number": "270-847-4004",
            "fax_number": "270-847-4005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FAMILY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-17",
        "last_updated": "2018-06-28",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "270-725-7504"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P07649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100311830",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amy Beth Canler
• Lesia Mechelle Collins
• Janie Elizabeth Davis, ARNP
• Cynthia Jean Finley, APRN
• Alexander Lee Gaddie, PTA
• Austin Brooke Higgins, COTA
• Sara Adkins Horton
• Tara M Jackson
• Logan Physician Practice LLC (Auburn Community Health Clinic)
• Logan Physician Practice, LLC (Auburn Community Family Clinic)

• Community/Retail Pharmacy in Auburn, KY
• Providers in Auburn, KY by specialty
• Community/Retail Pharmacy in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.