James Breckinridge Heaton II, R.PH. – Pharmacist

Key facts

NPI: 1770925901
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 051-027569 (IL)
Practice address: 200 Pittsfield Rd # B
Mount Sterling, IL 62353-1626
Phone: (217) 770-2437
Fax: (217) 773-2832
NPI assigned: Jul 30, 2013
Sex: Male
Sole proprietor: Yes

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.

Moreland & Devitt Inc Community/Retail Pharmacy · Mt Sterling, IL · NPI 1447354485

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Registered Pharmacist

State licenses

License	State	Type	Specialty
051-027569	IL	MD	Pharmacist

Practice roles

Organization	Specialty	Status	New patients
Moreland & Devitt Inc		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	051-027569	IL	Yes

Addresses

Primary practice location

200 Pittsfield Rd # B
Mount Sterling, IL 62353-1626

Mailing address

200 Pittsfield Rd # B
Mount Sterling, IL 62353-1626
Phone (217) 770-2437

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2013.

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375142400000",
    "number": "1770925901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PITTSFIELD RD # B",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531626",
            "telephone_number": "217-770-2437",
            "fax_number": "217-773-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 PITTSFIELD RD # B",
            "city": "MOUNT STERLING",
            "state": "IL",
            "postal_code": "623531626",
            "telephone_number": "217-770-2437",
            "fax_number": "217-773-2832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "JAMES",
        "middle_name": "BRECKINRIDGE",
        "name_suffix": "II",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051-027569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sterling, IL

All providers in Mount Sterling, IL · Pharmacist in Illinois

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2013. 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.

Verify at the official NPI Registry.