Heidi W Henen

Primary specialty

PharmacistTaxonomy code 183500000X

License

S018852 Issued in AZ

Practice address

3100 N Glassford Hill Rd
Prescott Valley, AZ 86314-2285

Phone

(928) 445-0607

NPI assigned

Sep 17, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1689924748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 BLOOMING HILLS DR UNIT 201",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863016527",
            "telephone_number": "928-445-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 N GLASSFORD HILL RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142285",
            "telephone_number": "928-445-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENEN",
        "first_name": "HEIDI",
        "middle_name": "W",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mindy Susan Hecht, MA, CCC-SLP
• Royce Lee Heffington Jr., PA-C
• Heidi Read FNP-BC PLLC
• Deanne Fairley Heitzman, OTR/L
• Lindsey Henderson, OTR/L, CHT
• Donald Herman, PHARM.D.
• Florencia Hernandez, DDS
• Chad Hetherwick, MS, RDN
• Hicks Chiropractic LLC
• Hidden Oasis, LLC

• Pharmacist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.