Organization Active NPI

Doc Heilinbel's

  • Community/Retail Pharmacy
  • Albany, GA
National Provider Identifier
1710064498
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHRE009086 Issued in GA
Legal business name
DOC HEILINBEL'S
Doing business as
Doc Heilinbel's
Practice address
2409 Dawson Rd
Albany, GA 31707-1323
Phone
(229) 889-9203
Fax
(229) 888-8911
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christopher ClevelandNPI 1356531370
Title
Owner Pharmacist
Phone
(229) 889-9203

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHRE009086 GA Primary
Compounding Pharmacy 3336C0004X

Addresses

Primary practice location

2409 Dawson Rd
Albany, GA 31707-1323

Mailing address

2409 Dawson Rd
Albany, GA 31707-1323

Other identifiers 2

IdentifierTypeStateIssuer
041918713AMedicaidGA
1155173OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • DOC HEILINBEL'S Doing business as

National Provider Directory

National Provider Directory

Locations

2409 Dawson Rd
Albany, GA 31707
Phone (229) 889-9203

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1710064498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 DAWSON RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317071323",
            "telephone_number": "229-889-9203",
            "fax_number": "229-888-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC HEILINBEL'S",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "CLEVELAND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER PHARMACIST",
        "authorized_official_telephone_number": "229-889-9203"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "PHRE009086",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041918713A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1155173",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOC HEILINBEL'S",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.