Individual provider Active NPI

Steven Patrick Hiemenz, R.PH.,CGP

  • Pharmacist
  • Naperville, IL
National Provider Identifier
1982667176
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
051036352 Issued in IL
Practice address
383 Knoch Knolls Rd
Naperville, IL 60565-5408
Phone
(630) 983-7187
Fax
(630) 420-8236
NPI assigned
Apr 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 051036352 IL Primary

Addresses

Primary practice location

383 Knoch Knolls Rd
Naperville, IL 60565-5408

Mailing address

383 Knoch Knolls Rd
Naperville, IL 60565-5408
Phone (630) 983-7187

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
051036352ILMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1982667176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 KNOCH KNOLLS RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605655408",
            "telephone_number": "630-983-7187",
            "fax_number": "630-420-8236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 KNOCH KNOLLS RD",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605655408",
            "telephone_number": "630-983-7187",
            "fax_number": "630-420-8236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEMENZ",
        "first_name": "STEVEN",
        "middle_name": "PATRICK",
        "credential": "R.PH.,CGP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051036352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.