Individual provider Active NPI

Joel Yale Hechtman, BS

  • Pharmacist
  • Williamsburg, MI
National Provider Identifier
1821315938
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5302020356 Issued in MI
Practice address
6455 US Highway 31 N
Williamsburg, MI 49690-9306
Phone
(231) 938-1181
Fax
(231) 938-0093
NPI assigned
Apr 28, 2010
Last updated
Apr 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5302020356 MI Primary

Addresses

Primary practice location

6455 US Highway 31 N
Williamsburg, MI 49690-9306

Mailing address

6455 US Highway 31 N
Williamsburg, MI 49690-9306
Phone (231) 938-1181

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
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
5302020356MIMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1821315938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 US HIGHWAY 31 N",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909306",
            "telephone_number": "231-938-1181",
            "fax_number": "231-938-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 US HIGHWAY 31 N",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909306",
            "telephone_number": "231-938-1181",
            "fax_number": "231-938-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECHTMAN",
        "first_name": "JOEL",
        "middle_name": "YALE",
        "credential": "BS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302020356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.