Individual provider Active NPI

Carrie Heinz, RPH

  • Pharmacist
  • Land O Lakes, FL
National Provider Identifier
1760870752
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS 45987 Issued in FL
Practice address
7040 Land O Lakes Blvd Unit 102
Land O Lakes, FL 34638-3201
Phone
(813) 803-7303
Fax
(813) 803-7305
NPI assigned
Dec 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS 45987 FL Primary

Addresses

Primary practice location

7040 Land O Lakes Blvd Unit 102
Land O Lakes, FL 34638-3201

Mailing address

7040 Land O Lakes Blvd Unit 102
Land O Lakes, FL 34638-3201
Phone (813) 803-7303

Other identifiers 1

IdentifierTypeStateIssuer
PS 45987OtherFLPHARMACIST

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

LicenseStateTypeSpecialty
PS 45987FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Joneleen LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1760870752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7040 LAND O LAKES BLVD UNIT 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383201",
            "telephone_number": "813-803-7303",
            "fax_number": "813-803-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7040 LAND O LAKES BLVD UNIT 102",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346383201",
            "telephone_number": "813-803-7303",
            "fax_number": "813-803-7305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "CARRIE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-30",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS 45987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST",
            "identifier": "PS 45987",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.