Individual provider Active NPI

Kenneth Heimann, R.PH.

  • Pharmacist
  • Inverness, FL
National Provider Identifier
1265833263
Registry record updated Sep 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS0019439 Issued in FL
Practice address
214 U.S. Hwy 41 South
Inverness, FL 34450
Phone
(352) 726-1021
Fax
(352) 726-0164
NPI assigned
Sep 9, 2014
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

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

LicenseStateTypeSpecialty
PS0019439FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Balls Rexall Drugs Current Accepting new patients
Balls Rexall Drugs Inc Current Accepting new patients

Locations

214 S US Highway 41
Inverness, FL 34450
Phone (352) 726-1021

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS0019439 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

214 U.S. Hwy 41 South
Inverness, FL 34450

Mailing address

214 U.S. Hwy 41 South
Inverness, FL 34450
Phone (352) 726-1021

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 9, 2014.

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410220800000",
    "number": "1265833263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 U.S. HWY 41 SOUTH",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34450",
            "telephone_number": "352-726-1021",
            "fax_number": "352-726-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 U.S. HWY 41 SOUTH",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34450",
            "telephone_number": "352-726-1021",
            "fax_number": "352-726-0164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMANN",
        "first_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-09",
        "last_updated": "2014-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS0019439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2014; 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.