Heartland Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

022241550 Issued in OH

Legal business name

HEARTLAND PHARMACY LLC

Doing business as

Heartland Pharmacy LLC

Practice address

3000 Far Hills Ave
Kettering, OH 45429-2510

Phone

(937) 723-9075

Fax

(937) 723-9450

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Kindy Ghussin, RPH

Title

Owner, Pic

Phone

(937) 829-1012

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Heartland Pharmacy LLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raef Hamaed

  • Pharmacist
  • Scottsdale, AZ
  • NPI 1669553350
  NPD

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1811247505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 FAR HILLS AVENUE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292510",
            "telephone_number": "937-723-9075",
            "fax_number": "937-723-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 FAR HILLS AVE",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454292510",
            "telephone_number": "937-723-9075",
            "fax_number": "937-723-9450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "GHUSSIN",
        "authorized_official_first_name": "KINDY",
        "authorized_official_title_or_position": "OWNER, PIC",
        "authorized_official_telephone_number": "937-829-1012",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022241550",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073227",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Pharmacy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heartland Hospice Services, LLC (ProMedica Hospice (Dayton))
• Heartland of Kettering Oh LLC (ProMedica Skilled Nursing and Rehabilitation (Kettering))
• Michelle Heckman, ATC
• Nicholas Hehmann, DO
• David Aaron Heidrich, DO
• Lucas William Heinemann, M.D.
• Lisa M Hemphill, ACNP

• Community/Retail Pharmacy in Kettering, OH
• Providers in Kettering, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.