Active NPI
Jill Renee Heuer
- Pharmacist
- Spring Park, MN
National Provider Identifier
1164814604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 116427
- Practice address
- 4689 Shoreline Dr
Suite 100
Spring Park, MN 55384-9715 - Phone
- (952) 471-3784
- NPI assigned
- Feb 20, 2015
- Last updated
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 116427 | MN | Primary |
Addresses
Primary practice location
4689 Shoreline Dr
Suite 100
Spring Park, MN 55384-9715
Mailing address
4689 Shoreline Dr
Suite 100
Spring Park, MN 55384-9715
Phone (952) 471-3784
Other names 1
- Jill Renee Huffer
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116427 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SP Services | Past | Accepting new patients | |
| SP Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424390400000",
"number": "1164814604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4689 SHORELINE DR",
"address_2": "SUITE 100",
"city": "SPRING PARK",
"state": "MN",
"postal_code": "553849715",
"telephone_number": "952-471-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4689 SHORELINE DR",
"address_2": "SUITE 100",
"city": "SPRING PARK",
"state": "MN",
"postal_code": "553849715",
"telephone_number": "952-471-3784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEUER",
"first_name": "JILL",
"middle_name": "RENEE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2015-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "116427",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JILL",
"last_name": "HUFFER",
"middle_name": "RENEE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spring Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.