Active NPI
Johnathan Gregory Heim, PHARMD
- Pharmacist
- Chickasha, OK
National Provider Identifier
1780284794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 18866
- Practice address
- 2001 S 1St St
Chickasha, OK 73018-6007 - Phone
- (405) 224-0292
- NPI assigned
- Oct 28, 2020
- Last updated
- Oct 28, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 18866 | OK | Primary |
Addresses
Primary practice location
2001 S 1St St
Chickasha, OK 73018-6007
Mailing address
2001 S 1St St
Chickasha, OK 73018-6007
Phone (405) 224-0292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18866 | Other | OK | STATE LICENSE |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18866 | OK | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603843200000",
"number": "1780284794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 S 1ST ST",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730186007",
"telephone_number": "405-224-0292",
"fax_number": "405-224-0296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S 1ST ST",
"city": "CHICKASHA",
"state": "OK",
"postal_code": "730186007",
"telephone_number": "405-224-0292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "JOHNATHAN",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-28",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OK",
"license": "18866",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "18866",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chickasha, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.