Michael Paul Heidt, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302026400 Issued in MI

Practice address

119 E Grand River Ave
Fowlerville, MI 48836-5109

Phone

(517) 223-9832

Fax

(517) 223-7267

NPI assigned

Jun 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

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.

• Fowlerville RX LLC

  • Community/Retail Pharmacy
  • Fowlerville, MI
  • NPI 1326057308
  NPD
• Fowlerville RX LLC

  • Long Term Care Pharmacy
  • Fowlerville, MI
  • NPI 1932968740
  NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1982228003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2129 RABBIT TRAK",
            "city": "PINCKNEY",
            "state": "MI",
            "postal_code": "481699508",
            "telephone_number": "734-347-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E GRAND RIVER AVE",
            "city": "FOWLERVILLE",
            "state": "MI",
            "postal_code": "488365109",
            "telephone_number": "517-223-9832",
            "fax_number": "517-223-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDT",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302026400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "fowlervillerx@yahoo.com",
            "affiliation": "N",
            "address_1": "119 E Grand River Ave",
            "city": "Fowlerville",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488365109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Fowlerville RX LLC
• Samantha Rose Franceschina
• Marie Elizabeth Gannon, O.D.
• Heather Diane Gilroy, RN, FNP-C
• Tom Lavern Hall II, OD
• Hannah Anne Henry, LPC
• Charles Thomas Hoffman, PHYSICAL THERAPIST
• Howell Vision Center, Inc.
• Amy C Huff
• Rebecca Jane Huhn, LLMSW

• All providers in Fowlerville, MI
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.