HEATHER MANDEVILLE PHARMD, BCPS
NPI 1619119773
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Saint Louis, MO
About Heather Mandeville Pharmd, Bcps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER MANDEVILLE PHARMD, BCPS (NPI 1619119773) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Saint Louis, Missouri, licensed in Missouri (2006021558) and active in the NPI registry since April 2009.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAINT LOUIS, MO 63117
SAINT LOUIS, MO 63117
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Heather Mandeville's NPI number?
The NPI number for Heather Mandeville is 1619119773. It was assigned to this individual provider in the NPPES registry on April 3, 2009.
Where is Heather Mandeville located?
Heather Mandeville practices at 6420 Clayton Rd, Saint Louis, MO 63117. The listed phone number is (314) 768-8365.
What is Heather Mandeville's specialty?
The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.
When was this NPI record last updated?
The NPPES record for Heather Mandeville was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Heather Mandeville, PHARMD, BCPS · NPI 1619119773
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist provider in Saint Louis, Missouri. Individual provider, active in the CMS NPPES registry since April 3, 2009.
## Identity
- **NPI:** 1619119773 (Entity type: Individual)
- **Enumerated:** April 3, 2009
- **Primary specialty:** Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · taxonomy 1835P0018X
- **State license:** 2006021558 (Missouri)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6420 CLAYTON RD, Saint Louis, MO 63117-1811
- **Phone:** (314) 768-8365
## Record status
- **NPPES last updated:** April 3, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1619119773) · Data from the CMS NPPES public registry.