Active NPI
Andrew Kelly Heinz, PHARMD
- Pharmacist
- Puyallup, WA
National Provider Identifier
1376859801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60405978
- Practice address
- 618 S Meridian
Puyallup, WA 98371-5999 - Phone
- (253) 848-2011
- Fax
- (253) 848-3119
- NPI assigned
- Aug 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | PH60405978 | WA | |
| Pharmacist | 183500000X | PH60405978 | WA | Primary |
| Pharmacotherapy Pharmacist | 1835P1200X | PH60405978 | WA | |
| Ambulatory Care Pharmacist | 1835P2201X | PH60405978 | WA |
Addresses
Primary practice location
618 S Meridian
Puyallup, WA 98371-5999
Mailing address
618 S Meridian
Puyallup, WA 98371-5999
Phone (253) 848-2011
Other practice location 1
104 Mashell Ave N
Eatonville, WA 98328-8936
Phone (360) 832-3121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2113322 | Medicaid | WA |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH60405978 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kirks Pharmacy at Hartland, Inc. | Current | Accepting new patients | |
| Kirks Pharmacy Inc | Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist | Past | Accepting new patients |
| Kirks Pharmacy at Hartland, Inc. | Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist | Past | Accepting new patients |
Locations
618 S Meridian
Puyallup, WA 98371
Phone (253) 307-9567
Organizations & group practices 3
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.
-
- Long Term Care Pharmacy
- Puyallup, WA
- NPI 1528896453
-
- Community/Retail Pharmacy
- Puyallup, WA
- NPI 1396973004
Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist
-
- Community/Retail Pharmacy
- Eatonville, WA
- NPI 1700991759
Pharmacist Clinician (PHC)/ Clinical Pharmacy Specialist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1376859801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715999",
"telephone_number": "253-848-2011",
"fax_number": "253-848-3119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 S MERIDIAN",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983715999",
"telephone_number": "253-848-2011",
"fax_number": "253-848-3119"
}
],
"practiceLocations": [
{
"address_1": "104 Mashell Ave N",
"address_purpose": "LOCATION",
"city": "Eatonville",
"state": "WA",
"postal_code": "983288936",
"country_code": "US",
"telephone_number": "360-832-3121",
"fax_number": "360-832-4520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEINZ",
"first_name": "ANDREW",
"middle_name": "KELLY",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-21",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "WA",
"license": "PH60405978",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WA",
"license": "PH60405978",
"primary": true
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "WA",
"license": "PH60405978",
"primary": false
},
{
"code": "1835P2201X",
"taxonomy_group": "",
"desc": "Pharmacist, Ambulatory Care",
"state": "WA",
"license": "PH60405978",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2113322",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.