HEATHER WILLIS (NPI# 1528626934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528626934 |
| Entity Type | Individual |
| Full Name | HEATHER WILLIS |
| Credential | PHARM D |
| Practice Address |
1160 S Belmont Ave Okmulgee OK 74447-6308 |
| Practice Telephone | 9187561223 |
| Mailing Telephone | 9187561223 |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2019-05-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 14368 | OK | Pharmacy Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13208 S 118th East Ave, Broken Arrow, OK 740115208 | 9185198312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467825570 | Heather Willis | Day Training/Habilitation Specialist | 311 Charleston Dr Lot 17, Cave City, AR 72521-8847 | 2015-11-11 |
| 1235383381 | Heather Lynn Willis | Urology | 1202 North Center Street, Hickory, NC 28601-3760 | 2008-11-14 |
| 1700347424 | Heather Bersaluna Willis | Behavior Technician | 1301 E Orangewood Ave, Anaheim, CA 92805-6807 | 2019-03-26 |
| 1013467281 | Heather Lynette Willis | Counselor | 2808 Nw 31st St, Oklahoma City, OK 73112-7407 | 2016-10-11 |
| 1437403292 | Heather L Willis | Counselor | 16001 W 9 Mile Rd, Providence Hospital, Southfield, MI 48075-4818 | 2012-11-01 |
| 1215284096 | Heather Marie Willis | Physician Assistant | 84 Santa Rosa St, Suite A, San Luis Obispo, CA 93405-5816 | 2012-08-10 |
| 1619121944 | Heather Nicole Willis | Psychologist | Blanchfield Army Community Hospital, 650 Joel Dr, Ft Campbell, KY 42223-5318 | 2008-11-13 |
| 1841475159 | Heather Ann Willis | Dentist | 1606 23rd Ave, Fairbanks, AK 99701-6407 | 2008-01-04 |
| Street Address |
1160 S BELMONT AVE |
| City | OKMULGEE |
| State | OK |
| Zip Code | 74447-6308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518050954 | Okmulgee Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 1160 S Belmont Ave, Okmulgee, OK 74447-6308 | 2006-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718376 | David Louis Holden | Counselor | 1803 W Wood Drive, Okmulgee, OK 74447 | 2020-07-30 |
| 1972097657 | Impact Rehab Consultants | Occupational Therapist | 114 West 7th Street, Okmulgee, OK 74447 | 2018-06-18 |
| 1992192504 | Taquia Bagby | Counselor | 1117 Martin L King Dr., Okmulgee, OK 74447 | 2015-04-21 |
| 1174935886 | Heather Houser | Case Manager/Care Coordinator | 1803 South Wood Drive, Okmuglee, OK 74447 | 2014-05-29 |
| 1376977066 | Anita Kaye Stallings | Case Manager/Care Coordinator | 1018 E 2nd St, Okmulgee, OK 74447 | 2013-08-29 |
| 1013283209 | Megan Breffney Wilson | Family Medicine | 112 West 5th Street, Okmulgee, OK 74447 | 2012-04-01 |
| 1245475466 | Mary Jones | Counselor | 323 W 6th Street, Okmulgee, OK 74447 | 2008-12-03 |
| 1881872182 | State of Oklahoma | Skilled Nursing Facility | 900 E. Airport Rd., Okmulgee, OK 74447 | 2008-02-08 |
| 1053539965 | Shannon Michelle Allison | Physical Therapist | 900 E. Airport Road, Okmulgee, OK 74447 | 2007-04-23 |
| 1023233772 | Ky Joel Kiger | Physical Therapist | 900 East Airport Road, Okmulgee, OK 74447 | 2007-04-16 |
| Find all providers in zip 74447 | ||||
| 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 |
|---|---|---|---|---|
| 1588082275 | Jessica Casselman | Pharmacist | 11280 N 240 Rd, Okmulgee, OK 74447-9302 | 2014-03-31 |
| 1164423158 | Samuel Dalton Hubler | Pharmacist | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2005-08-02 |
| 1790385847 | Cheryl Wallace | Pharmacist | 1800 S Wood Dr, Okmulgee, OK 74447-6826 | 2020-10-28 |
| 1447850847 | April M Hurst | Pharmacist | 1800 S Wood Dr, Okmulgee, OK 74447-6826 | 2020-10-27 |
| 1407317332 | Darryl Leon Raley | Pharmacist | 108 S Morton Ave, Okmulgee, OK 74447-5022 | 2019-03-25 |
| 1912463761 | Joshua Paul Thompson | Pharmacist | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2019-02-18 |
| 1205339736 | Richard Scott Baumgartner | Pharmacist | 1403 S Wood Dr, Okmulgee, OK 74447-7841 | 2018-03-11 |
| 1821597121 | Kristin Kellett | Pharmacist | 1313 E 20th St, Okmulgee, OK 74447-6303 | 2018-02-02 |
| 1144427030 | Dusty James Allen | Pharmacist | 1201 S Belmont Ave, Baker Building Suite 106, Okmulgee, OK 74447-6351 | 2007-07-02 |
| 1114062908 | Nathan Shane Wyatt | Pharmacist | 1201 S Belmont Ave, Baker Building - Suite 106, Okmulgee, OK 74447 | 2007-02-20 |
| Find all providers in OKMULGEE | ||||
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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.