Active NPI
Nikki Heiderscheidt
- Pharmacist
- Sleepy Eye, MN
National Provider Identifier
1689380149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 125254
- Practice address
- 121 1St Ave S
Sleepy Eye, MN 56085-1364 - Phone
- (507) 794-3631
- NPI assigned
- Jan 27, 2023
- 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 | 125254 | MN | Primary |
Addresses
Primary practice location
121 1St Ave S
Sleepy Eye, MN 56085-1364
Mailing address
538 3Rd Ave NW
Sleepy Eye, MN 56085-1037
Other practice location 1
400 4th Ave NW
Sleepy Eye, MN 56085-1109
Phone (507) 794-8450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125254 | MN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Randys Family Drug & Gift Inc | Past | Accepting new patients |
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.
-
dba Randys Family Drug
- Community/Retail Pharmacy
- Sleepy Eye, MN
- NPI 1629145941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674777600000",
"number": "1689380149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 3RD AVE NW",
"city": "SLEEPY EYE",
"state": "MN",
"postal_code": "560851037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 1ST AVE S",
"city": "SLEEPY EYE",
"state": "MN",
"postal_code": "560851364",
"telephone_number": "507-794-3631"
}
],
"practiceLocations": [
{
"address_1": "400 4th Ave NW",
"address_purpose": "LOCATION",
"city": "Sleepy Eye",
"state": "MN",
"postal_code": "560851109",
"country_code": "US",
"telephone_number": "507-794-8450",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIDERSCHEIDT",
"first_name": "NIKKI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2023-01-27",
"certification_date": "2023-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MN",
"license": "125254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sleepy Eye, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.