Individual provider Active NPI

Renee G Heilmann, PHARMD

  • Pharmacist
  • Auburn, CA
National Provider Identifier
1902182389
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
53411 Issued in CA
Practice address
2550 Bell Rd
Safeway Pharmacy
Auburn, CA 95603-2502
Phone
(530) 401-9979
Fax
(530) 401-9966
NPI assigned
Oct 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 53411 CA Primary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 53411 CA

Addresses

Primary practice location

2550 Bell Rd
Safeway Pharmacy
Auburn, CA 95603-2502

Mailing address

2550 Bell Rd
Safeway Pharmacy
Auburn, CA 95603-2502
Phone (530) 401-9979

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
53411CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Safeway Inc Past Accepting new patients
Safeway Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1319760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1902182389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 BELL RD",
            "address_2": "SAFEWAY PHARMACY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032502",
            "telephone_number": "530-401-9979",
            "fax_number": "530-401-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 BELL RD",
            "address_2": "SAFEWAY PHARMACY",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032502",
            "telephone_number": "530-401-9979",
            "fax_number": "530-401-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEILMANN",
        "first_name": "RENEE",
        "middle_name": "G",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-28",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "53411",
            "primary": true
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "CA",
            "license": "53411",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.