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HERITAGE PARK PHARMACY, LLC
NPI 1619194453
Pharmacy Technician in Midwest City, OK

Active since April 20, 2007
6908 E RENO AVE STE 101, MIDWEST CITY, OK 73110(405) 737-6697(405) 737-6698 Get Directions Write a Review

NPPES record last updated: January 30, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Park Pharmacy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE PARK PHARMACY, LLC (NPI 1619194453) is a healthcare organization registered as a pharmacy technician in Midwest City, Oklahoma and active in the NPI registry since April 2007. The organization lists Cheryl Marie Desjardins, Owner, as its authorized official.

NPPES Registry Identity

NPI1619194453
Entity TypeOrganization
Primary Taxonomy183700000X
Legal Business NameHERITAGE PARK PHARMACY, LLC
Location Address6908 E RENO AVE STE 101Midwest City, OK 73110-2120
Mailing Address6908 E Reno Ave Ste 101Midwest City, OK 73110-2120 · (405) 737-6697 · Fax (405) 737-6698
Phone(405) 737-6697
Fax(405) 737-6698
Organization SubpartNo
Authorized OfficialCheryl Marie DesjardinsOwner · (405) 737-6697
Enumeration DateApril 20, 2007
Last NPPES UpdateJanuary 30, 2014
✔ NPI 1619194453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy TechnicianPharmacy Service Providers
Taxonomy Code183700000X
License✔ Licensed in OK · T-6052
Definition
A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist.
6908 E RENO AVE STE 101, Midwest City, OK 73110
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Other Identifiers 2

Other3713218OK · Ncpdp
Medicaid100237240AOK

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Heritage Park Pharmacy, LLC's NPI number?

The NPI number for Heritage Park Pharmacy, LLC is 1619194453. It was assigned to this organization in the NPPES registry on April 20, 2007.

Where is Heritage Park Pharmacy, LLC located?

Heritage Park Pharmacy, LLC is located at 6908 E Reno Ave Ste 101, Midwest City, OK 73110. The listed phone number is (405) 737-6697.

What is Heritage Park Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy Technician with taxonomy code 183700000X.

When was this NPI record last updated?

The NPPES record for Heritage Park Pharmacy, LLC was last updated on January 30, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.