Active NPI
Charles John Heppner
- Pharmacist
- Mayfield HTS, OH
National Provider Identifier
1619630092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03112354
- Practice address
- 6259 Mayfield Rd
Mayfield HTS, OH 44124-3217 - Phone
- (440) 449-3940
- NPI assigned
- Oct 21, 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 03112354 | OH | Primary |
Addresses
Primary practice location
6259 Mayfield Rd
Mayfield HTS, OH 44124-3217
Mailing address
6259 Mayfield Rd
Mayfield HTS, OH 44124-3217
Phone (440) 449-3940
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 |
|---|---|---|---|
| 03112354 | OH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1619630092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6259 MAYFIELD RD",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441243217",
"telephone_number": "440-449-3940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6259 MAYFIELD RD",
"city": "MAYFIELD HTS",
"state": "OH",
"postal_code": "441243217",
"telephone_number": "440-449-3940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEPPNER",
"first_name": "CHARLES",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-21",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03112354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mayfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.