Heather Brooke Debellis, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202207745 Issued in VA

Practice address

1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5641

Phone

(912) 435-5722

Fax

(912) 435-6626

NPI assigned

Dec 22, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Brooke Fouse Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1942365853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE, STE 1D03",
            "address_2": "WINN ARMY COMMUNITY HOSPITAL",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145674",
            "fax_number": "912-435-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "address_2": "STE 1D03",
            "city": "FORT STEWART",
            "state": "GA",
            "postal_code": "313145641",
            "telephone_number": "912-435-5722",
            "fax_number": "912-435-6626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBELLIS",
        "first_name": "HEATHER",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202207745",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH024020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "FOUSE",
            "middle_name": "BROOKE",
            "credential": "PHARM.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saita Aisha Davis
• Selena Katherine Davis, RN, COHN-S
• Shamara Shantae Davison
• Anthony Terrance Dawson
• Akshat Deasi, DDS
• Margie Jean Deck, PA-C, MPAS
• Defense Finance & Actg Serv
• Erin Elizabeth Deighan, RN
• Joshua Aike Dejong, MD
• Peter Joseph Dell, LCSW

• Pharmacist in Fort Stewart, GA
• Providers in Fort Stewart, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.