Heather Robertson

Primary specialty

PharmacistTaxonomy code 183500000X

License

PD14977 Issued in AR

Practice address

2270 Meadowlake Rd Apt 1007
Conway, AR 72032-2680

Phone

(870) 844-0516

NPI assigned

Jun 13, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heather Keough Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1902465818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 MEADOWLAKE RD APT 1007",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 MEADOWLAKE RD APT 1007",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322680",
            "telephone_number": "870-844-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AR",
            "license": "PD14977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "123456",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rxm.05237@store.walgreens.com",
            "affiliation": "N",
            "address_1": "2270 Meadowlake Rd Apt 1007",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720322680",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "KEOUGH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristy M Roberts, DO
• Taylor Beth Roberts
• Tessa Roberts, ST
• Thomas S Roberts, M.D.
• Donna Robertson, LPE
• Kassie Olivia Robertson, APN
• Melissa Robertson, AU.D.
• Abigail Marie Robinson
• Andrea Robinson
• Briceston Robinson, RECOVERY ASSISTANT

• Pharmacist in Conway, AR
• Providers in Conway, AR by specialty
• Pharmacist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.