Grace Lynn Heikens
Individual provider Active NPI Pharmacist · Hartley, IA
NPI 1033844360 · NPPES record last updated Jul 20, 2022
Key facts
- NPI
- 1033844360
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 24470 (IA)
- Practice address
- 130 3Rd St NE Ste a
Hartley, IA 51346-1132 - Phone
- (712) 928-7070
- NPI assigned
- Jul 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24470 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HHP LLC | Current |
Accepting new patients |
Locations
130 3rd St NE
#A
Hartley, IA 51346
Phone (712) 928-7070
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 24470 | IA | Yes |
Addresses
Primary practice location
130 3Rd St NE Ste a
Hartley, IA 51346-1132
Mailing address
PO Box 97
Lake Park, IA 51347-0097
Phone (712) 330-4718
Other providers in Hartley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.