Organization Active NPI

Heartland Pharmacy Services LLC

Doing business as Heartland Pharmacy services

  • Long Term Care Pharmacy
  • Cedar Rapids, IA
National Provider Identifier
1881301695
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
HEARTLAND PHARMACY SERVICES LLC
Doing business as
Heartland Pharmacy services
Practice address
202 35TH Street Dr SE Ste 100
Cedar Rapids, IA 52403-1353
Phone
(319) 449-9057
Fax
(319) 449-9064
NPI assigned
Nov 1, 2022
Last updated
Mar 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Dan Bieurance
Title
Owner/ Pharmacist
Phone
(612) 986-7827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

202 35TH Street Dr SE Ste 100
Cedar Rapids, IA 52403-1353

Mailing address

9796 Vale St NW
Coon Rapids, MN 55433-5546
Phone (612) 986-7827

Other names 1

  • Heartland Pharmacy services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pharmacy@heartlandpharmacyservices.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20230130001344 IA DME Supplier - Pharmacy 8729459763 Practice locations: Cedar Rapids, IA
O20230515003318 IA Part B Supplier - Pharmacy 8729459763 Practice locations: Cedar Rapids, IA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1881301695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9796 VALE ST NW",
            "city": "COON RAPIDS",
            "state": "MN",
            "postal_code": "554335546",
            "telephone_number": "612-986-7827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 35TH STREET DR SE STE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524031353",
            "telephone_number": "319-449-9057",
            "fax_number": "319-449-9064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PHARMACY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "BIEURANCE",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "612-986-7827"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pharmacy@heartlandpharmacyservices.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "202 35th Street Dr SE Ste 100",
            "city": "Cedar Rapids",
            "state": "IA",
            "country_code": "US",
            "postal_code": "524031353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Heartland Pharmacy services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heartland Pharmacy services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.