Heather Ileane Ricklefs, PHARMD
Individual provider Active NPI Pharmacist · Algona, IA
NPI 1700424801 · NPPES record last updated Nov 18, 2021
Key facts
- NPI
- 1700424801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22204 (IA)
- Practice address
- 1515 S Phillips St
Algona, IA 50511-3649 - Phone
- (515) 295-4676
- NPI assigned
- Dec 19, 2019
- Sex
- Female
- Sole proprietor
- No
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22204 | IA | MD | Pharmacist |
Interoperability endpoints
- him@komhn.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22204 | IA | Yes |
Addresses
Primary practice location
1515 S Phillips St
Algona, IA 50511-3649
Mailing address
1515 S Phillips St
Algona, IA 50511-3649
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HIM@komhn.cernerdirect.com | Direct |
Other providers in Algona, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 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.