Nicole R Heun

Primary specialty

PharmacistTaxonomy code 183500000X

License

051.302193 Issued in IL

Practice address

316 Washington St
Prophetstown, IL 61277-1184

Phone

(815) 537-2400

NPI assigned

Aug 21, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Hartig Drug Co Corp

  • Community/Retail Pharmacy
  • Prophetstown, IL
  • NPI 1902903560
  NPD (past)
• Hartig Drug Co Corp

  • Long Term Care Pharmacy
  • Waukon, IA
  • NPI 1740592591
  NPD (past)

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1487201877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9660 ALBANY RD",
            "city": "ERIE",
            "state": "IL",
            "postal_code": "612509721",
            "telephone_number": "815-590-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 WASHINGTON ST",
            "city": "PROPHETSTOWN",
            "state": "IL",
            "postal_code": "612771184",
            "telephone_number": "815-537-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUN",
        "first_name": "NICOLE",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.302193",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH031626",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Core Wellness Inc
• Katrina Marie Gerber, LICENSED SOCIAL WORK
• Alexander Thomas Goodwin, PHARMD
• Hartig Drug Co Corp
• Mary Kathryn Keli Henrekin, MS, CCC-SLP
• Daniel John Howard, OTR/L
• Tyla Hughes
• Abigail Katherine Lench, D.C.
• Karen Louise Niemi, RPH
• Prophetstown Fire Protection District

• Pharmacist in Prophetstown, IL
• Providers in Prophetstown, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.