Heidi Lynn Diez, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302033123 Issued in MI

Practice address

400 S Maple Rd
Kroger Pharmacy Attn: Heidi Diez
Ann Arbor, MI 48103-3835

Phone

(734) 213-5343

NPI assigned

Nov 29, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kroger Co of Michigan

  • Community/Retail Pharmacy
  • Fenton, MI
  • NPI 1326917394
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192665600000",
    "number": "1013991561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5629 VERSAILLES AVE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039084",
            "telephone_number": "734-929-4156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S MAPLE RD",
            "address_2": "KROGER PHARMACY ATTN: HEIDI DIEZ",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033835",
            "telephone_number": "734-213-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIEZ",
        "first_name": "HEIDI",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-29",
        "last_updated": "2007-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00057161",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302033123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Ann Diehl, MSW
• Makenna Diem-Conlen
• Oryanna J Diem, RN
• Erica Dierkens, IBCLC
• Emily Dietzel
• Duane J Difranco, MD
• Mary B Difranco, LMSW
• Karen Edith Digby, N.P.
• Denise Diggs-Taylor
• Kristi Digioia, PHD

• Pharmacist in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.