REX HEISER (NPI# 1205116753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205116753 |
| Entity Type | Individual |
| Full Name | REX HEISER |
| Credential | R.PH |
| Practice Address |
6840 Lake Michigan Dr Allendale MI 49401-8064 |
| Practice Telephone | 6168952200 |
| Practice Fax Number | 6168952201 |
| Mailing Telephone | 6168952200 |
| Mailing Fax Number | 6168952201 |
| Enumeration Date | 2011-08-27 |
| Last Update Date | 2011-08-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 5302022601 | MI | Pharmacy Service Providers |
| Street Address |
6840 LAKE MICHIGAN DR |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-8064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447446711 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6840 Lake Michigan Dr, Allendale, MI 49401-8064 | 2007-09-20 |
| 1164023990 | Jordan Kyle Seeger | Pharmacist | 6840 Lake Michigan Dr, Allendale, MI 49401-8064 | 2020-11-06 |
| 1346521895 | Adriane Lynn Ebels | Pharmacist | 6840 Lake Michigan Dr, Allendale, MI 49401-8064 | 2011-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| 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 |
|---|---|---|---|---|
| 1366863276 | Yasoda Sannala | Pharmacist | 14 Waibel Dr, Allendale, NJ 07401-2224 | 2013-12-18 |
| 1609174838 | Donald Arthur Webster | Pharmacist | 137 Main St S, Allendale, SC 29810-3601 | 2011-03-11 |
| 1447579834 | Jessy John | Pharmacist | 44 W Allendale Ave, Allendale, NJ 07401-1718 | 2010-05-25 |
| 1568640738 | Pao-hua H Chang | Pharmacist | 45 De Mercurio Dr, Allendale, NJ 07401-1711 | 2008-02-09 |
| 1164023990 | Jordan Kyle Seeger | Pharmacist | 6840 Lake Michigan Dr, Allendale, MI 49401-8064 | 2020-11-06 |
| 1003313099 | Melanie Trinh | Pharmacist | 6370 Lake Michigan Dr, Allendale, MI 49401-8068 | 2018-04-07 |
| 1316489834 | Thomas Yamamoto Chong-munoz | Pharmacist | 44 W Allendale Ave, Allendale, NJ 07401-1718 | 2016-11-15 |
| 1790175727 | Daniel Joseph Murad | Pharmacist | 45 Demercurio Drive, Allendale, NJ 07401 | 2015-01-29 |
| 1639456684 | John A Richardson | Pharmacist | 6370 Lake Michigan Dr, Allendale, MI 49401-8068 | 2011-11-04 |
| 1316222748 | William Paul Overkamp | Pharmacist | 6370 Lake Michigan Dr, Allendale, MI 49401-8068 | 2011-10-17 |
| Find all providers in ALLENDALE | ||||
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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.