DR. BRADLEY WILLIAM HECKMAN (NPI# 1881295129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881295129 |
| Entity Type | Individual |
| Full Name | DR. BRADLEY WILLIAM HECKMAN |
| Credential | PHARMD |
| Practice Address |
3650 Stardust Dr Hannibal MO 63401-2480 |
| Mailing Address |
413 Cortland Dr Hannibal MO 63401-2647 |
| Practice Telephone | 5734060682 |
| Practice Fax Number | 5734060462 |
| Mailing Telephone | 3145372796 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 2016006765 | MO | Pharmacy Service Providers |
| Street Address |
3650 STARDUST DR |
| City | HANNIBAL |
| State | MO |
| Zip Code | 63401-2480 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407873730 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2006-07-16 |
| 1588265797 | Julie Ann Hamilton | Pharmacist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2020-11-04 |
| 1043811367 | Judy Wilcox | Pharmacist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2020-11-03 |
| 1083154991 | Hannibal Regional Healthcare System,inc | Clinic/Center | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2017-02-27 |
| 1245510221 | Hannibal Regional Hospital | Clinic/Center | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2011-08-23 |
| 1043485949 | Paul Tracy Od | Optometrist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2008-04-23 |
| 1205917044 | Wal-mart Stores East, Lp | Technician/Technologist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2006-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981064 | Amanda Lynn Jennings | Nurse Practitioner | Hannibal Clinic, 100 Medical Drive, Hannibal, MO 63401 | 2019-09-13 |
| 1316452295 | Hannibal Regional Healthcare System, Inc | Hospice Care, Community Based | 6401 Hwy Mm, Hannibal, MO 63401 | 2017-12-13 |
| 1932614351 | Sidney M Johnson | Counselor | 1221 Broadway St, Hannibal, MO 63401 | 2017-12-07 |
| 1316467210 | Jessica Baker | Counselor | 4355 Paris Gravel Road, Hannibal, MO 63401 | 2017-06-21 |
| 1346787066 | Hands Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17 Settlerstrail, Hannibal, MO 63401 | 2017-01-20 |
| 1134571672 | Pamela Barrigar | Social Worker | 4600 Mcmasters Ave, Hannibal, MO 63401 | 2016-07-08 |
| 1639540677 | Jessica Murfin | Speech-Language Pathologist | 544 N Veterans Rd, Hannibal, MO 63401 | 2015-10-16 |
| 1366835639 | Cpo Services, Inc. | Prosthetic/Orthotic Supplier | 8965 Highway 36 Ste 3, Hannibal, MO 63401 | 2015-03-11 |
| 1639324254 | Hannibal Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 118 Steam Boat Bend, Hannibal, MO 63401 | 2008-11-24 |
| 1780856112 | Barbara Belle Smith | Social Worker | 3700 Hwy Mm, Hannibal, MO 63401 | 2008-03-26 |
| Find all providers in zip 63401 | ||||
| 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 |
|---|---|---|---|---|
| 1346426939 | Jonathan Allen Hess | Pharmacist | 450 Fulton Street, Suite 300, Hannibal, NY 13074 | 2008-01-14 |
| 1912087883 | Twila F Plas | Pharmacist | 50475 Bares Run Rd, Box 91, Hannibal, OH 43931-0091 | 2006-10-16 |
| 1306447230 | Laurie Ellen Hjelm | Pharmacist | Walmart Pharmacy, 3650 Stardust, Hannibal, MO 63401 | 2020-11-06 |
| 1588265797 | Julie Ann Hamilton | Pharmacist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2020-11-04 |
| 1043811367 | Judy Wilcox | Pharmacist | 3650 Stardust Dr, Hannibal, MO 63401-2480 | 2020-11-03 |
| 1700499043 | Rebecca Elizabeth Larson | Pharmacist | 455 Highway 61 N, Hannibal, MO 63401-2885 | 2020-08-26 |
| 1528671864 | Suzanne Wommack | Pharmacist | 455 Highway 61 N, Hannibal, MO 63401-2885 | 2020-08-26 |
| 1346728961 | Ali Koerper | Pharmacist | 154 Forrest Dr Rm 176, Hannibal, MO 63401-5503 | 2018-08-06 |
| 1396232419 | Shivani St Martin | Pharmacist | 409 Fulton St Lot A, Hannibal, NY 13074-3300 | 2018-04-13 |
| 1750664538 | Rachel Beth Hart | Pharmacist | 455 Highway 61 N, Hannibal, MO 63401-2885 | 2011-09-27 |
| Find all providers in HANNIBAL | ||||
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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.