Active NPI
William Heimberg, RPH
- Ambulatory Care Pharmacist
- Ukiah, CA
National Provider Identifier
1649921578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Care Pharmacist
- License
- RPH36236
- Practice address
- 707 S Dora St
Ukiah, CA 95482-5335 - Phone
- (707) 468-8707
- Fax
- (707) 468-9707
- NPI assigned
- Jan 12, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ambulatory Care Pharmacist | 1835P2201X | RPH36236 | CA | Primary |
Addresses
Primary practice location
707 S Dora St
Ukiah, CA 95482-5335
Mailing address
PO Box 281
Ukiah, CA 95482-0281
Phone (707) 468-4333
Other practice location 1
1772 S Main St
Willits, CA 95490-4435
Phone (707) 459-5585
Other names 1
- Will Heimberg
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 |
|---|---|---|---|
| RPH36236 | CA | MD | Ambulatory Care Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Drug Inc | Current | Accepting new patients |
Locations
707 S Dora St
Ukiah, CA 95482
Phone (707) 468-8707
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.
-
- Community/Retail Pharmacy
- Ukiah, CA
- NPI 1306803614
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641945600000",
"number": "1649921578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 281",
"city": "UKIAH",
"state": "CA",
"postal_code": "954820281",
"telephone_number": "707-468-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 S DORA ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825335",
"telephone_number": "707-468-8707",
"fax_number": "707-468-9707"
}
],
"practiceLocations": [
{
"address_1": "1772 S Main St",
"address_purpose": "LOCATION",
"city": "Willits",
"state": "CA",
"postal_code": "954904435",
"country_code": "US",
"telephone_number": "707-459-5585",
"fax_number": "707-459-3548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIMBERG",
"first_name": "WILLIAM",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-12",
"last_updated": "2022-01-12",
"certification_date": "2021-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "CA",
"license": "RPH36236",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILL",
"last_name": "HEIMBERG",
"credential": "RPH",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.