Heidi Koukourdelis, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI04475500 Issued in NJ

Practice address

101 Polifly Rd
Hackensack, NJ 07601-3209

Phone

(201) 525-1149

NPI assigned

Jan 9, 2026

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1767916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1245197201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013209",
            "telephone_number": "201-525-1149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 POLIFLY RD",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076013209",
            "telephone_number": "201-525-1149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUKOURDELIS",
        "first_name": "HEIDI",
        "name_prefix": "Dr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-09",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI04475500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katerina Korunovski, FNP-C
• Dejan Koskoski, DPT
• Ian Dennis Kosovsky, DMD
• Lahari Kota, MD
• Lisa Anne Kotler, MD
• Lisa Marie Koumoulos, APN
• Ashley Kourgialis, PA-C
• Timothy S Kowal, MD
• Rachel Kowalenko, LCSW
• Caroline Kozek, APN

• Pharmacist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.