DR. CRYSTAL D. HEISE


Address: 1600 Medical Center Dr, Ste 500b, Huntington, WV 25701-3656
Phone: 3046911787

DR. CRYSTAL D. HEISE (NPI# 1891068243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891068243
Entity Type Individual
Full Name DR. CRYSTAL D. HEISE
Other Name CRYSTAL D. MAYLES
Credential PHARM.D., BCACP
Practice Address 1600 Medical Center Dr
Ste 500b
Huntington
WV 25701-3656
Practice Telephone 3046911787
Practice Fax Number 3046911477
Mailing Telephone 3046911787
Mailing Fax Number 3046911477
Enumeration Date 2012-02-15
Last Update Date 2016-02-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
22227 MD Pharmacy Service Providers
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
PH100001693 DC Pharmacy Service Providers
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0202212488 VA Pharmacy Service Providers
Y 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP0007760 WV Pharmacy Service Providers
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPI005878 PA Pharmacy Service Providers
N 1835P0018X Pharmacist
Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RP446057 PA Pharmacy Service Providers

Office Location

Street Address 1600 MEDICAL CENTER DR
STE 500B
City HUNTINGTON
State WV
Zip Code 25701-3656

Providers in the same location

NPI Name Taxonomy Address Enumeration
1245847128 Christie Monahan Pharmacist 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-09-25
1255941639 Haleigh Grace Hogue Pharmacist 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-07-31
1689292872 Yosuke Sakurai Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-07-14
1033736111 Nidhi Shekar Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-07-06
1265059331 Yuki Nakao Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-07-06
1790307700 Armein Rahimpour Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-05-13
1104447853 Micah Landry Macaskill Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-05-05
1891316261 Grant Kahley Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-04-27
1508487984 Gerard Vincent Giangrosso Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-04-27
1003437476 Danielle Harris Student in an Organized Health Care Education/Training Program 1600 Medical Center Dr, Huntington, WV 25701-3656 2020-04-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1922607803 Sara Tonya Hicks Technician 742 4th Avenue, Huntington, WV 25701 2020-10-21
1316550791 Ethan Scott Miller Counselor 1538 Charleston Ave., Huntington, WV 25701 2020-08-26
1336752674 Brock Riley Hapney Student in an Organized Health Care Education/Training Program 1538 Charelston Avenue, Huntington, WV 25701 2020-08-26
1558972224 Ardith Ruth Bartram Technician 4045 C 8th Street Road, Huntington, WV 25701 2020-08-14
1144839614 Randall Edward Short Behavior Technician 10th Sixth Avenue West, Huntington, WV 25701 2020-07-30
1609495191 Melanie Jean Howard Pharmacist 1538 Charleston Avenue, Huntington, WV 25701 2020-04-14
1205472016 Kelly Kauffer Technician 1012 Johns Court, Huntington, WV 25701 2019-11-27
1265082648 Matt France Technician 3650 Taymor Rd, Huntington, WV 25701 2019-09-17
1538649348 Kathryn Markus Pharmacist 1500 Medical Center Drive, Huntington, WV 25701 2018-08-21
1487155636 Heather Marie Rogers Nurse Practitioner 940 4th Ave, Huntington, WV 25701 2018-02-23
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Taxonomy Information

Taxonomy Code 1835P0018X
Grouping Pharmacy Service Providers
Classification Pharmacist
Specialization Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558988535 Kadie Schlie Pharmacist 2718 Guilford St, Huntington, IN 46750-9701 2020-06-25
1124656509 Dustin Lucas Baum Pharmacist 1600 Medical Center Dr Ste B500, Huntington, WV 25701-3655 2020-03-31
1780163667 Charles Alex Noble Pharmacist 1540 Spring Valley Dr # 119, Huntington, WV 25704-9300 2018-08-10
1720446073 Anne Bradley Pharmacist 1540 Spring Valley Dr, Huntington, WV 25704-9300 2016-02-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346640406 Angela Dawkins Pharmacist 9503 Middletown Mall, Fairmont, WV 26554-2195 2014-08-26
1336401892 Jeffrey Davis Eddy Pharmacist 2792 Keller Ln, Williamstown, WV 26187-8309 2012-06-11
1780988022 Gregg Michael Stern Pharmacist 505 Virginia Ave., Smithers, WV 25186-0577 2010-12-30
1922301035 Dwan Shasta Hamons Pharmacist 180 Red Oaks Shopping Center, Ronceverte, WV 24970 2010-12-10
1053636704 Patrick Robert Huffman Pharmacist 200 Veterans Avenue, Beckley, WV 25801 2010-04-06
1548425994 Laurie Ann Fromm Pharmacist 112 Partridge Ln, Beckley, WV 25801-3606 2008-07-25
1295341741 Lindsey Christine Judy Pharmacist 72 Whitewater Ave, Fayetteville, WV 25840-9648 2020-09-21
1700490125 Kate Forman Pharmacist 4205 Maccorkle Ave Se, Charleston, WV 25304-2501 2020-09-02
1477162964 Robert Logan Moneypenny Pharmacist 1 Medical Center Dr, Dept of Pharmaceutical Services 8045, Morgantown, WV 26506-1200 2020-07-30
1174132088 Megan Ciborowski Pharmacist 1 Medical Center Dr Dept Of, Morgantown, WV 26506-1200 2020-07-27
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Competitor

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City HUNTINGTON
Zip Code 25701

Improve Information

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Dataset Information

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.

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