Active NPI
Michael David Heath, CPHT
- Pharmacy Technician
- Round Rock, TX
National Provider Identifier
1508455700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 136134
- Practice address
- 603 Louis Henna Blvd # a
Round Rock, TX 78664-7186 - Phone
- (512) 828-0814
- NPI assigned
- Jan 12, 2021
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 136134 | TX | Primary |
Addresses
Primary practice location
603 Louis Henna Blvd # a
Round Rock, TX 78664-7186
Mailing address
603 Louis Henna Blvd # a
Round Rock, TX 78664-7186
Phone (512) 828-0814
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 |
|---|---|---|---|
| 136134 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1508455700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LOUIS HENNA BLVD # A",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647186",
"telephone_number": "512-828-0814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603 LOUIS HENNA BLVD # A",
"city": "ROUND ROCK",
"state": "TX",
"postal_code": "786647186",
"telephone_number": "512-828-0814"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "136134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Round Rock, TX
- Heart and Soul Counseling PLLC
- Heart and Vascular of Central Texas PA
- Hearthstone
- Hearthstone Health Center
- Hearthstone SCC, LLC (Hearthstone SN Health Center)
- Jarom Cooper Heaton, D.D.S.
- Brittlyn Hebert, MOT, OTR
- Katelyn Elizabeth Heck, RN, MSN, CRNP
- Jessica Dawn Hector, LCSW
- Ashley Roechelle Hedden
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.