Healthcare Provider Details

I. General information

NPI: 1548122567
Provider Name (Legal Business Name): LUKE MATTHEW HEUTS PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2025
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 CURTIS ELLIS DR
ROCKY MOUNT NC
27804-2237
US

IV. Provider business mailing address

1737 WHISPERING MEADOWS DR
ZEBULON NC
27597-7369
US

V. Phone/Fax

Practice location:
  • Phone: 252-962-8734
  • Fax:
Mailing address:
  • Phone: 252-458-4222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number16361
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: