Active NPI
Eric Vanheukelom, RPH
- Pharmacist
- Des Moines, IA
National Provider Identifier
1194302513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 17576
- Practice address
- 5802 Franklin Ave
Des Moines, IA 50322-6132 - Phone
- (515) 274-4609
- Fax
- (515) 279-4960
- NPI assigned
- Mar 24, 2021
- Last updated
- Mar 21, 2024
- Sex
- Male
- 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 | 17576 | IA | Primary |
Addresses
Primary practice location
5802 Franklin Ave
Des Moines, IA 50322-6132
Mailing address
604 44TH St
Des Moines, IA 50312-2302
Phone (515) 556-8636
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17576 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LVH Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1616544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1194302513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "604 44TH ST",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503122302",
"telephone_number": "515-556-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 FRANKLIN AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503226132",
"telephone_number": "515-274-4609",
"fax_number": "515-279-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANHEUKELOM",
"first_name": "ERIC",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-24",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "17576",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.