DALE HECKETHORN (NPI# 1972901304) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972901304 |
| Entity Type | Individual |
| Full Name | DALE HECKETHORN |
| Practice Address |
3211 S Seneca St Wichita KS 67217-3348 |
| Practice Telephone | 3165224545 |
| Practice Fax Number | 3165299013 |
| Mailing Telephone | 3165224545 |
| Mailing Fax Number | 3165299013 |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 11143 | KS | Pharmacy Service Providers |
| Street Address |
3211 S SENECA ST |
| City | WICHITA |
| State | KS |
| Zip Code | 67217-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093755811 | Dillon Companies LLC | Pharmacy | 3211 S Seneca St, Wichita, KS 67217 | 2006-06-08 |
| 1538768452 | Tin T Le | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2020-10-21 |
| 1447739164 | Timothy Stanberry | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2018-08-13 |
| 1265838155 | Meghan White | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2014-11-05 |
| 1912303801 | Hoa Truong | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2014-11-05 |
| 1902202880 | Brenda Wellnitz | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2014-11-05 |
| 1174929079 | Amy Stuchlik | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2014-11-05 |
| 1093116295 | Patrick Huntoon | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2014-09-08 |
| 1982004784 | Ashley Perry | Pharmacist | 3211 S Seneca St, Wichita, KS 67217-3348 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922383736 | Patti Jean Rogers | Pharmacist | 3150 S Seneca, Wichita, KS 67217 | 2011-10-13 |
| 1447275573 | Richard L Dopps | Chiropractor | 1001 W 47th St S, Wichita, KS 67217 | 2006-07-12 |
| 1235191917 | Robert Charles Beaver | Dentist | 2860 S Seneca, Suite A, Wichita, KS 67217 | 2006-04-06 |
| 1134182686 | Twietmeyer Dentistry Pa | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2006-04-07 |
| 1053763714 | Charles Twietmeyer | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2016-07-06 |
| 1306047634 | Kate E Rohr | Dentist | 3920 W 31st St S, Wichita, KS 67217-1112 | 2007-05-31 |
| 1568748903 | Michael Shirkey | Marriage & Family Therapist | 1903 W Anita Ave, Wichita, KS 67217-1801 | 2011-10-31 |
| 1558542035 | David M. Guerrero | Dentist | 3027 S Hiram Ave, Wichita, KS 67217-1938 | 2007-11-26 |
| 1285922658 | Kimberley R. Jones | Social Worker | 3450 S Bonn Ave, Wichita, KS 67217-2136 | 2011-07-19 |
| 1407084932 | Holly Marie Allen Terrell | Family Medicine | 3417 S Meridian, Gracemed Health Clinic, Inc, Wichita, KS 67217-2151 | 2009-06-23 |
| Find all providers in zip 67217 | ||||
| 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 |
|---|---|---|---|---|
| 1629534250 | Mandilyn Coffman | Pharmacist | 2627 S Santa Fe St, Wichita, KS 67216-1132 | 2019-02-19 |
| 1780166587 | Melissa Schmidt | Pharmacist | 6110 W Kellogg Dr Stop 1, Wichita, KS 67209-2350 | 2018-08-29 |
| 1619454337 | Zachary Hill | Pharmacist | 6110 W Kellogg, Wichita, KS 67209 | 2018-07-25 |
| 1962903906 | Nalini Fraser | Pharmacist | 2806 W Driftwood Cir, Wichita, KS 67204-2340 | 2018-02-26 |
| 1093221202 | Amber Thomas | Pharmacist | 1100 N Saint Francis Ave Ste 200, Wichita, KS 67214-2866 | 2017-12-26 |
| 1396260121 | Keegan Hemberger | Pharmacist | 555 N. Maize Road, Wichita, KS 67212 | 2017-08-14 |
| 1194250688 | Ebube Otuonye | Pharmacist | 2251 E 21st St N Ste 121, Neighborhood Pharmacy, Wichita, KS 67214-1976 | 2017-04-22 |
| 1851838874 | Steve Parker | Pharmacist | 539 S Fawnwood Ct, Wichita, KS 67235-7540 | 2017-01-28 |
| 1508317959 | Julie P Nguyen | Pharmacist | 9700 E Kellogg Dr, Wichita, KS 67207-1821 | 2016-10-20 |
| 1538531942 | Rachel George | Pharmacist | 14135 W Onewood Ct, Wichita, KS 67235-3412 | 2015-10-25 |
| Find all providers in WICHITA | ||||
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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.