Active NPI
Heidi Elizabeth Mandt, PHARMD
- Pharmacist
- Eden Prairie, MN
National Provider Identifier
1568759124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 120404
- Practice address
- 830 Prairie Center Dr
Eden Prairie, MN 55344-7301 - Phone
- (952) 826-6677
- NPI assigned
- Jul 5, 2011
- Last updated
- Jan 29, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 120404 | MN | Primary |
Addresses
Primary practice location
830 Prairie Center Dr
Eden Prairie, MN 55344-7301
Mailing address
5309 Empire LN N
Plymouth, MN 55446-3723
Phone (612) 251-3258
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 |
|---|---|---|---|
| 120404 | MN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738108800000",
"number": "1568759124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5309 EMPIRE LN N",
"city": "PLYMOUTH",
"state": "MN",
"postal_code": "554463723",
"telephone_number": "612-251-3258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 PRAIRIE CENTER DR",
"city": "EDEN PRAIRIE",
"state": "MN",
"postal_code": "553447301",
"telephone_number": "952-826-6677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANDT",
"first_name": "HEIDI",
"middle_name": "ELIZABETH",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-05",
"last_updated": "2025-01-29",
"certification_date": "2025-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "120404",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eden Prairie, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.