Active NPI
William Mark Herter, RPH
- Pharmacist
- Moberly, MO
National Provider Identifier
1518560556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2015020504
- Practice address
- 530 East 24 Hwy
Moberly, MO 65270 - Phone
- (660) 263-6710
- Fax
- (660) 263-2269
- NPI assigned
- Nov 20, 2020
- Last updated
- Nov 20, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 2015020504 | MO | Primary |
Addresses
Primary practice location
530 East 24 Hwy
Moberly, MO 65270
Mailing address
1011 Hampton Dr
Centralia, MO 65240-1081
Phone (660) 263-6710
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015020504 | MO | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1518560556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 HAMPTON DR",
"city": "CENTRALIA",
"state": "MO",
"postal_code": "652401081",
"telephone_number": "660-263-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 EAST 24 HWY",
"city": "MOBERLY",
"state": "MO",
"postal_code": "65270",
"telephone_number": "660-263-6710",
"fax_number": "660-263-2269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTER",
"first_name": "WILLIAM",
"middle_name": "MARK",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2015020504",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moberly, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.