Heather Chancey Pellot, PHARMD – Pharmacist

Key facts

NPI: 1982132007
Entity type: Individual (NPI type 1)
Primary specialty: Pharmacist 183500000X
License: 14402 (AL)
Practice address: 1608 W Magnolia Ave
Geneva, AL 36340-1237
Phone: (334) 684-2277
Fax: (334) 684-3280
NPI assigned: Jun 2, 2017
Sex: Female
Sole proprietor: No

Organizations & group practices 2

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.

Wal-Mart Stores East LP Community/Retail Pharmacy · Geneva, AL · NPI 1093732380

NPD (past)
Wal-Mart Stores East, LP Pharmacy · Apollo Beach, FL · NPI 1437027208

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No
Credentials: Doctor of Pharmacy

Practice roles

Organization	Specialty	Status	New patients
Wal-Mart Stores East, LP		Past	Accepting new patients
Wal-Mart Stores East LP		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Pharmacist	183500000X	14402	AL	Yes

Addresses

Primary practice location

1608 W Magnolia Ave
Geneva, AL 36340-1237

Mailing address

120 Lakewood Loop
Geneva, AL 36340-8200
Phone (334) 684-6140

Other identifiers

Identifier	Type	State	Issuer
14402	Other	AL	ALABAMA BOARD OF PHARMACY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 2, 2017.

{
    "created_epoch": "1496361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496361600000",
    "number": "1982132007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 LAKEWOOD LOOP",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363408200",
            "telephone_number": "334-684-6140",
            "fax_number": "334-684-3280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 W MAGNOLIA AVE",
            "city": "GENEVA",
            "state": "AL",
            "postal_code": "363401237",
            "telephone_number": "334-684-2277",
            "fax_number": "334-684-3280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLOT",
        "first_name": "HEATHER",
        "middle_name": "CHANCEY",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-02",
        "last_updated": "2017-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "14402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALABAMA BOARD OF PHARMACY",
            "identifier": "14402",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, AL

All providers in Geneva, AL · Pharmacist in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2017. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.