Active NPI
Charles William Heindel
- Pharmacist
- Statesboro, GA
National Provider Identifier
1821760919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH033317
- Practice address
- 4439 Country Club Rd
Statesboro, GA 30458-9188 - Phone
- (912) 489-7979
- NPI assigned
- Sep 28, 2021
- 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 | RPH033317 | GA | Primary |
Addresses
Primary practice location
4439 Country Club Rd
Statesboro, GA 30458-9188
Mailing address
217 Oak St
Sylvania, GA 30467-2206
Phone (912) 425-0512
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH033317 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1821760919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 OAK ST",
"city": "SYLVANIA",
"state": "GA",
"postal_code": "304672206",
"telephone_number": "912-425-0512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4439 COUNTRY CLUB RD",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304589188",
"telephone_number": "912-489-7979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINDEL",
"first_name": "CHARLES",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH033317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Statesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.