Heather Conklin
Individual provider Active NPI Pharmacist · Parkland, FL
NPI 1679025266 · NPPES record last updated Nov 2, 2016
Key facts
- NPI
- 1679025266
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS55640 (FL)
- Practice address
- 8095 N University Dr
Parkland, FL 33067-2602 - Phone
- (954) 575-8230
- NPI assigned
- Oct 28, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS55640 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Publix Super Markets Inc | Past | Accepting new patients | |
| Publix Super Markets Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS55640 | FL | Yes |
Addresses
Primary practice location
8095 N University Dr
Parkland, FL 33067-2602
Mailing address
8095 N University Dr
Parkland, FL 33067-2602
Phone (954) 575-8230
Other providers in Parkland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.