Heather Marie Black, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

057124 Issued in NY

Practice address

5237 Broadway
Bronx, NY 10463-7636

Phone

(718) 733-4880

Fax

(718) 733-4885

NPI assigned

Jul 16, 2013

Last updated

Jul 16, 2013By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of New York Inc

  dba Rite Aid Pharmacy 03733

  • Community/Retail Pharmacy
  • New York, NY
  • NPI 1639288129
  NPD (past)

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1912348160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5237 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637636",
            "telephone_number": "718-733-4880",
            "fax_number": "718-733-4885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5237 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104637636",
            "telephone_number": "718-733-4880",
            "fax_number": "718-733-4885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "credential": "PHARM D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-16",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "057124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• BL Pain Management PLLC
• Nancy Blace, M.D.PH.D.
• Nicola Black Singleton, LCSW
• Latondra M Black-Graham, LMSW
• Eucilda Black
• Irwin Michael Black, LCSWR 041213 NYS
• Kristel Victoria Black, MD
• Pauline Black
• Simone Black
• Felice Blackledge

• Pharmacist in Bronx, NY
• Providers in Bronx, NY by specialty
• Pharmacist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.