Organization Active NPI

Joy M. Bernhardt Dba Heritage Hills Discount Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Kingston, OK
National Provider Identifier
1841373602
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JOY M. BERNHARDT DBA HERITAGE HILLS DISCOUNT PHARMACY
Practice address
709 Highway 70 East, Ste. B
Kingston, OK 73439-0282
Phone
(580) 564-2227
Fax
(580) 564-4844
NPI assigned
Oct 23, 2006
Last updated
Jun 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Mr. Jerry Bernhardt
Title
Manager
Phone
(580) 564-2227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

709 Highway 70 East, Ste. B
Kingston, OK 73439-0282

Mailing address

PO Box 310
709 Highway 70 East, Ste. B
Kingston, OK 73439-0310
Phone (580) 564-2227

Other identifiers 1

IdentifierTypeStateIssuer
100237280BMedicaidOK

National Provider Directory

National Provider Directory

Locations

709 Highway 70 E
#B
Kingston, OK 73439
Phone (580) 564-2227

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1841373602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "address_2": "709 HIGHWAY 70 EAST, STE. B",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734390310",
            "telephone_number": "580-564-2227",
            "fax_number": "580-564-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 HIGHWAY 70 EAST, STE. B",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734390282",
            "telephone_number": "580-564-2227",
            "fax_number": "580-564-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOY M. BERNHARDT DBA HERITAGE HILLS DISCOUNT PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "BERNHARDT",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "580-564-2227",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100237280B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.