HEIDI AULT (NPI# 1083908339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083908339 |
| Entity Type | Individual |
| Full Name | HEIDI AULT |
| Credential | PHARM D |
| Practice Address |
777 Rural Ave Williamsport PA 17701-3109 |
| Mailing Address |
1305 Pearl Blvd Montoursville PA 17754-1231 |
| Practice Telephone | 5703213083 |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2011-06-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0202209042 | VA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | RP441960 | PA | Pharmacy Service Providers |
| Street Address |
777 RURAL AVE |
| City | WILLIAMSPORT |
| State | PA |
| Zip Code | 17701-3109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992791057 | Susquehanna Cardiology Associates, P. C. | Internal Medicine | 777 Rural Ave, Williamsport, PA 17701-3109 | 2005-09-23 |
| 1679906515 | Michele Lynn Snyder | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2013-08-14 |
| 1104115526 | Robert B Zaleski | Pharmacist | 777 Rural Ave, Williamsport, PA 17701-3109 | 2011-04-06 |
| 1164734810 | David Alan Bortel | Nurse Anesthetist, Certified Registered | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-07-10 |
| 1689905606 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3109 | 2010-01-15 |
| 1386892669 | Brian James Heintzelman | Pharmacist | 777 Rural Ave, Sl2 East, Williamsport, PA 17701-3109 | 2008-08-29 |
| 1093903791 | Susquehanna Physician Services | Nurse Practitioner | 777 Rural Ave, Williamsport, PA 17701-3145 | 2007-10-09 |
| 1396862900 | Okwudili Francis Chukwuani | Surgery | 777 Rural Ave, Williamsport, PA 17701-3145 | 2007-03-26 |
| 1063597334 | Upmc Williamsport | Clinic/Center | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
| 1093890360 | Upmc Williamsport | Ambulance | 777 Rural Ave, Williamsport, PA 17701-3109 | 2006-10-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184267809 | Charlene Angella Pitter | Nurse Practitioner | 170 Warren Ave, Williamsport, PA 17701 | 2019-10-25 |
| 1396395299 | Susan E Fetzer | Occupational Therapy Assistant | Upmc Susquehanna,625 West Edwin Street, Williamsport, PA 17701 | 2019-09-13 |
| 1184280984 | Craig Andrew Tuller | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency, 740 High Street, Suite 4001, Williamsport, PA 17701 | 2019-05-16 |
| 1760048045 | Michael Harvey | Student in an Organized Health Care Education/Training Program | 740 High St. Suite 4001, Williamsport, PA 17701 | 2019-05-13 |
| 1275196008 | Olivia Fladmark | Student in an Organized Health Care Education/Training Program | Williamsport Family Medicine Residency 740 High St, Suite 4001, Williamsport, PA 17701 | 2019-04-17 |
| 1528551231 | Mark Hampton Chiropractic Inc. | Durable Medical Equipment & Medical Supplies | 1111 East 3rd Street, Williamsport, PA 17701 | 2018-06-08 |
| 1548710882 | Central Pennsylvania Rehabilitation Medicine, Inc | Physical Medicine & Rehabilitation | 460 River Ave Ste 1, Williamsport, PA 17701 | 2016-10-11 |
| 1376096784 | Christine Kessler | Physician Assistant | One College Ave, Penna. College of Tech, Pa Program Dif 123, Williamsport, PA 17701 | 2016-08-02 |
| 1629440276 | Matthew Ray Rebuck | Specialist/Technologist | 220 N Reach Rd, Williamsport, PA 17701 | 2015-10-22 |
| 1508237223 | Neihl Williamson | Physician Assistant | 1205 Grampian Blvd Ste 3c, Williamsport, PA 17701 | 2015-10-08 |
| Find all providers in zip 17701 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982997532 | Deborah Anne Missigman | Pharmacist | 1913 E 3rd St, Williamsport, PA 17701-3901 | 2011-05-16 |
| 1093006041 | Mandy Klemick | Pharmacist | 14 5th St, Williamsport, PA 17701-6201 | 2011-04-26 |
| 1780919142 | Lyndae Fiamingo-lowe | Pharmacist | 1000 Commerce Park Dr Ste 420, Williamsport, PA 17701-5475 | 2009-10-02 |
| 1780896126 | Gerald J Sloto | Pharmacist | 2023 Lycoming Creek Rd, Williamsport, PA 17701-1206 | 2007-05-06 |
| 1396860466 | Joseph Brian Lecrone | Pharmacist | 1100 Grampian Boulevard, Pharmacy, Williamsport, PA 17754-2401 | 2007-03-20 |
| 1417042011 | Laurence Allen Hickman Jr. | Pharmacist | 307 East Potomac Street, Williamsport, MD 21795-1203 | 2006-10-03 |
| 1629059332 | Lynne R Stugart | Pharmacist | 1009 Washigton Blvd, Williamsport, PA 17701 | 2005-11-09 |
| 1679560916 | Nelson Eugene Kline | Pharmacist | 100 E Potomac St, Williamsport, MD 21795-1108 | 2005-10-03 |
| 1780285460 | Kendra Renee Hawbecker | Pharmacist | 1969 E 3rd St, Williamsport, PA 17701-3950 | 2020-11-08 |
| 1205436987 | Nicholas Anthony Inverso II | Pharmacist | 1201 Grampian Blvd, Williamsport, PA 17701-1900 | 2020-10-30 |
| Find all providers in WILLIAMSPORT | ||||
| City | WILLIAMSPORT |
| Zip Code | 17701 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.