Active NPI
Bret Royden Heiner, PHARMD
- Pharmacist
- Mesquite, NV
National Provider Identifier
1972875011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17750
- Practice address
- 329 N Sandhill Blvd
Mesquite, NV 89027-4729 - Phone
- (702) 346-1416
- Fax
- (702) 346-1434
- NPI assigned
- Feb 6, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17750 | NV | Primary |
Addresses
Primary practice location
329 N Sandhill Blvd
Mesquite, NV 89027-4729
Mailing address
652 E Price Hills Dr
St George, UT 84790-6552
Phone (435) 231-3594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17750 | Other | NV | NEVADA PHARMACIST LISENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17750 | NV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328486400000",
"number": "1972875011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "652 E PRICE HILLS DR",
"city": "ST GEORGE",
"state": "UT",
"postal_code": "847906552",
"telephone_number": "435-231-3594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 N SANDHILL BLVD",
"city": "MESQUITE",
"state": "NV",
"postal_code": "890274729",
"telephone_number": "702-346-1416",
"fax_number": "702-346-1434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINER",
"first_name": "BRET",
"middle_name": "ROYDEN",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2012-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NV",
"license": "17750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA PHARMACIST LISENCE",
"identifier": "17750",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.