Individual provider Active NPI

Heidi Michelle Hreno-Walter, R.PH.

  • Pharmacist
  • Boardman, OH
National Provider Identifier
1710273446
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03221502 Issued in OH
Practice address
417 Boardman Poland Rd
Boardman, OH 44512-4907
Phone
(330) 758-5930
Fax
(330) 758-5930
NPI assigned
Jun 21, 2011
Last updated
Jun 21, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03221502 OH Primary

Addresses

Primary practice location

417 Boardman Poland Rd
Boardman, OH 44512-4907

Mailing address

417 Boardman Poland Rd
Boardman, OH 44512-4907
Phone (330) 758-5930

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
03221502OHMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1710273446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BOARDMAN POLAND RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124907",
            "telephone_number": "330-758-5930",
            "fax_number": "330-758-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BOARDMAN POLAND RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124907",
            "telephone_number": "330-758-5930",
            "fax_number": "330-758-5930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HRENO-WALTER",
        "first_name": "HEIDI",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03221502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.