Individual provider Active NPI

Kimberly Martin Heagy, RPH

  • Pharmacist
  • Largo, FL
National Provider Identifier
1376528349
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS31054 Issued in FL
Practice address
1601 W Bay Dr
Largo, FL 33770-2209
Phone
(727) 674-9990
Fax
(727) 674-9994
NPI assigned
Dec 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS31054 FL Primary

Addresses

Primary practice location

1601 W Bay Dr
Largo, FL 33770-2209

Mailing address

1686 21St Ave N
Saint Petersburg, FL 33713-5036
Phone (727) 897-9069

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
PS31054FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Clinic Medical Group 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": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376528349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1686 21ST AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337135036",
            "telephone_number": "727-897-9069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 W BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337702209",
            "telephone_number": "727-674-9990",
            "fax_number": "727-674-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAGY",
        "first_name": "KIMBERLY",
        "middle_name": "MARTIN",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.