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

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.

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

OrganizationSpecialtyStatusNew patients
Healthfirst Pharmacy LLC Current
since Dec 5, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 3, 2021.

{
    "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

All providers in Pawnee City, NE · Pharmacist in Nebraska

Sources for this page

Verify at the official NPI Registry.