Heidi Kohake, PHARMD
Individual provider Active NPI Pharmacist · Pawnee City, NE
NPI 1487312708 · NPPES record last updated Dec 3, 2021
Key facts
- NPI
- 1487312708
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 17231 (NE)
- Practice address
- 645 G St
Pawnee City, NE 68420-6842 - Phone
- (402) 852-2321
- NPI assigned
- Dec 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Pharmacy LLC | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 17231 | NE | Yes |
Addresses
Primary practice location
645 G St
Pawnee City, NE 68420-6842
Mailing address
PO Box 208
Pawnee City, NE 68420-0208
Phone (402) 852-2321
NPI Registry JSON
{
"created_epoch": "1638489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1487312708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 208",
"city": "PAWNEE CITY",
"state": "NE",
"postal_code": "684200208",
"telephone_number": "402-852-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 G ST",
"city": "PAWNEE CITY",
"state": "NE",
"postal_code": "684206842",
"telephone_number": "402-852-2321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOHAKE",
"first_name": "HEIDI",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-03",
"last_updated": "2021-12-03",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NE",
"license": "17231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pawnee City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.