Staci Leanne Heersink, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

37851 Issued in TX

Practice address

2120 Ese Loop323
Tyler, TX 75701-8318

Phone

(903) 593-1507

NPI assigned

Nov 3, 2009

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

Registered Pharmacist

Practice roles

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

• Walgreen Co

  • Pharmacy
  • Tyler, TX
  • NPI 1083624951
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1257206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579824000000",
    "number": "1962739573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 OLD FARM RD",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757030338",
            "telephone_number": "214-415-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ESE LOOP323",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757018318",
            "telephone_number": "903-593-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERSINK",
        "first_name": "STACI",
        "middle_name": "LEANNE",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-03",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "37851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee Suzanne Hebbeler-Clark, M.D.
• Marvin Heck, MD
• David Alphonso Hector, MD
• Hedgecock Artificial Limb Co., Inc
• Sara Louise Hedges
• Jessica L. Hefner, FNP
• Dona Hegefeld
• Brianna Heggins
• Cindy Griffith Heimbaugh, P.T.
• Junelle Gay Heldenbrand, LVN

• Pharmacist in Tyler, TX
• Providers in Tyler, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.