Individual provider Active NPI

Heidi Ann Frynkewicz, PHARMD, MHSA, RPH

  • Pharmacist
  • Erie, PA
National Provider Identifier
1073020293
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP452039 Issued in PA
Practice address
1407 Buffalo Rd
Erie, PA 16503-2417
Phone
(814) 451-0937
Fax
(814) 454-8431
NPI assigned
Jan 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP452039 PA Primary

Addresses

Primary practice location

1407 Buffalo Rd
Erie, PA 16503-2417

Mailing address

1407 Buffalo Rd
Erie, PA 16503-2417
Phone (814) 451-0937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP452039PAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1073020293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165032417",
            "telephone_number": "814-451-0937",
            "fax_number": "814-454-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 BUFFALO RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165032417",
            "telephone_number": "814-451-0937",
            "fax_number": "814-454-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYNKEWICZ",
        "first_name": "HEIDI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MHSA, RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-09",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP452039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.