Nicole Lauren Heeney, PHARMD

Primary specialty

Pharmacotherapy PharmacistTaxonomy code 1835P1200X

License

11330 Issued in CA

Practice address

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436

Phone

(707) 576-4340

NPI assigned

Oct 1, 2018

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Lauren Nahigian Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Lark Rexall Drugs Inc

  dba Lark Drugs Pharmacy

  • Community/Retail Pharmacy
  • Guerneville, CA
  • NPI 1750484820
  NPD (past)
• Sebastopol Family Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Sebastopol, CA
  • NPI 1457858565
  NPD (past)

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1407331937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16251 MAIN ST",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954468300",
            "telephone_number": "415-816-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARK WEST SPRINGS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031436",
            "telephone_number": "707-576-4340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEENEY",
        "first_name": "NICOLE",
        "middle_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "79034",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "CA",
            "license": "11330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "NAHIGIAN",
            "middle_name": "LAUREN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Windi Heaton, RN
• Robert P Heckey, MD
• Peyman Hedayati, DDS,MD
• David Hedden, M.F.T.
• Thomas Rick Hedlund, LMFT
• Kristi Heffelfinger, RT
• Yvonne Marie Arline Hefner, FNP-BC
• Elizabeth Laurena Hawkins Hegarty, MD
• Abbey Elizabeth Homen Heidenreich, LMFT
• Erick Heidorn, MFTI

• Pharmacotherapy Pharmacist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Pharmacotherapy Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.

Verify at the official NPI Registry.