HEATHER NIECKARZ (NPI# 1033483102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033483102 |
| Entity Type | Individual |
| Full Name | HEATHER NIECKARZ |
| Credential | RPH |
| Practice Address |
650 Q St Springfield OR 97477 |
| Mailing Address |
650 Q St Springfield OR 97477-2353 |
| Practice Telephone | 5417415183 |
| Practice Fax Number | 5417415180 |
| Mailing Telephone | 5417415183 |
| Mailing Fax Number | 5417415180 |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2018-08-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 0009894 | OR | Pharmacy Service Providers |
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0009894 | OR | Pharmacy Service Providers |
| Street Address |
650 Q ST |
| City | SPRINGFIELD |
| State | OR |
| Zip Code | 97477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003852914 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 650 Q St, Springfield, OR 97477-2353 | 2006-06-20 |
| 1053712455 | Tina J. Okuda-easton | Pharmacist | 650 Q St, Springfield, OR 97477-2353 | 2014-09-04 |
| 1649544651 | Harry Mallchok | Pharmacist | 650 Q St, Springfield, OR 97477-2353 | 2012-03-08 |
| 1710250790 | Ramin Jaberabo Ansari | Pharmacist | 650 Q St, Springfield, OR 97477-2353 | 2012-02-21 |
| 1164795258 | Robert L Silbernagel | Pharmacist | 650 Q St, Springfield, OR 97477-2353 | 2012-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508416140 | Chase Michael Collings | Physician Assistant | 960 N 16th St Ste 303, Springfield, OR 97477 | 2019-09-16 |
| 1174079396 | Amie Flanagan | Occupational Therapy Assistant | 3152 Valentine Court, Springfield, OR 97477 | 2016-08-28 |
| 1609229590 | Kiernan Davis Snedigar | Counselor | 175 W B St Ste J, Springfield, OR 97477 | 2016-07-15 |
| 1578914206 | Ryan James Dixon | Counselor | 1923 Centennial Blvd, Springfield, OR 97477 | 2016-06-23 |
| 1902275464 | Jovonnie Bashaw | Counselor | 1157 5th St, Springfield, OR 97477 | 2015-09-15 |
| 1053759506 | Norco Inc | Durable Medical Equipment & Medical Supplies | 302 Shelley St Ste 7&8, Springfield, OR 97477 | 2013-06-06 |
| 1780931634 | Justin Morris | Pharmacist | 1891 Pioneer Parkway East, Springfield, OR 97477 | 2012-08-09 |
| 1194083105 | Mersedeh Bahr Hosseini | Psychiatry & Neurology | 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 | 2012-04-26 |
| 1962769679 | Hiro Kawata | Internal Medicine | 3311 Rierbend Dr., Springfield, OR 97477 | 2012-04-19 |
| 1659662823 | Wendy A Teigen | Counselor | 3995 Marcola Rd., Springfield, OR 97477 | 2011-04-22 |
| Find all providers in zip 97477 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043856297 | Jeffrey Brian Barnes | Pharmacist | 100 Northcrest Dr., Pharmacy, Springfield, TN 37172 | 2019-11-22 |
| 1790254647 | Meds To Live By | Pharmacist | 1134 N. Scarlett Way, Springfield, MO 65802 | 2018-11-21 |
| 1770085987 | Brigid Farrar | Pharmacist | 440 E Tampa St # 100, Springfield, MO 65806-1131 | 2018-03-03 |
| 1437243136 | Elizabeth Anne Dinges | Pharmacist | 2121 Illini Rd, Springfield, IL 62704 | 2006-10-03 |
| 1861090235 | Allison Bellar | Pharmacist | 2989 Derr Rd, Springfield, OH 45503-1369 | 2020-10-16 |
| 1700415288 | Brittany Moore | Pharmacist | 965 N Bechtle Ave, Springfield, OH 45504-2005 | 2020-04-06 |
| 1447889100 | Jessica Wilson | Pharmacist | 2728 E Main St, Springfield, OH 45503-5117 | 2020-04-05 |
| 1518590157 | Sarah Lance | Pharmacist | 2728 E Main St, Springfield, OH 45503-5117 | 2020-02-21 |
| 1225669815 | Terry Lynn Taylor | Pharmacist | 965 N Bechtle Ave, Springfield, OH 45504-2005 | 2020-01-31 |
| 1194356196 | Amber Jones | Pharmacist | 2989 Derr Rd, Springfield, OH 45503-1369 | 2020-01-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 97477 |
Please comment or provide details below to improve the information on HEATHER NIECKARZ.
| 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.