KAROL L HEIDBREDER (NPI# 1316120561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316120561 |
| Entity Type | Individual |
| Full Name | KAROL L HEIDBREDER |
| Credential | R.PH. |
| Practice Address |
100 W Main St Addison MI 49220-9807 |
| Mailing Address |
100 W Main St P.o. Box 349 Addison MI 49220-9807 |
| Practice Telephone | 5175476686 |
| Practice Fax Number | 5175473401 |
| Mailing Telephone | 5175476686 |
| Mailing Fax Number | 5175473401 |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 411064 | MI | Pharmacy Service Providers |
| Street Address |
100 W MAIN ST |
| City | ADDISON |
| State | MI |
| Zip Code | 49220-9807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477667459 | Hi-5 Inc | Pharmacy | 100 W Main St, Addison, MI 49220-9807 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851941793 | Kimberly Kay Griewahn | Home Health Aide | 17221 Manitou Road, Addison, MI 49220 | 2019-09-12 |
| 1033133947 | Douglas Eric Heidbreder | Pharmacist | 100 W. Main Street, Addison, MI 49220 | 2006-07-26 |
| 1144436627 | Michael Scott Hestwood | Dentist | 431 N Steer St, Addison, MI 49220-9409 | 2007-05-14 |
| 1497295398 | Michael S. Hestwood, D.d.s., P.C. | Dentist | 431 N Steer St, Addison, MI 49220-9409 | 2017-02-27 |
| 1114464567 | Monica Flores | Social Worker | 15019 Sanford Rd, Addison, MI 49220-9746 | 2017-01-24 |
| 1841235264 | Addison Fire Board | Ambulance | 319 E Main St, Addison, MI 49220-9780 | 2006-06-19 |
| 1093923237 | Life's Resources Inc. | Speech-Language Pathologist | 114 E Main St, Addison, MI 49220-9808 | 2007-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720667 | Mary Rae Butler | Pharmacist | 344 E Palmer Ave, Addison, IL 60101-4027 | 2020-11-02 |
| 1770195513 | Jennifer Lea Aguilar | Counselor | 14683 Midway Rd Ste 210, Addison, TX 75001-3526 | 2020-08-22 |
| 1760094379 | Rabia Choudhry | Pharmacist | 731 N Swift Rd, Addison, IL 60101-1661 | 2020-08-17 |
| 1407466105 | Sierra Smith | Speech-Language Pathologist | 1233 W Holtz Ave, Addison, IL 60101-2161 | 2020-08-06 |
| 1548879331 | Joey R Walker | Nurse Practitioner | 16775 Addison Rd Ste 200, Addison, TX 75001-5654 | 2020-07-28 |
| 1780293795 | Latasha Mcneal | Home Health | 15130 Marsh Ln, Addison, TX 75001-8047 | 2020-07-26 |
| 1487271060 | Medical Lab Partners LLC | Clinical Medical Laboratory | 14679 Midway Rd Ste 219, Addison, TX 75001-4965 | 2020-06-30 |
| 1518584275 | Carin Shearer | Behavioral Analyst | 3813 Park Pl, Addison, TX 75001-4422 | 2020-06-29 |
| 1437775491 | Faithcaren Moche | Physician Assistant | 5040 Addison Cir Ste 400, Addison, TX 75001-6049 | 2020-06-24 |
| 1891319083 | Parkhill Imaging Addison LLC | Clinic/Center | 17051 Dallas Pkwy Ste 200, Addison, TX 75001-7119 | 2020-06-03 |
| Find all providers in ADDISON | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720667 | Mary Rae Butler | Pharmacist | 344 E Palmer Ave, Addison, IL 60101-4027 | 2020-11-02 |
| 1760094379 | Rabia Choudhry | Pharmacist | 731 N Swift Rd, Addison, IL 60101-1661 | 2020-08-17 |
| 1639452196 | Farooque Khan | Pharmacist | 1111 W Rugeley Ct, Addison, IL 60101-2154 | 2011-09-21 |
| 1265714711 | Simon James Staub | Pharmacist | 3n471 Meadow Rd, Addison, IL 60101-1408 | 2011-09-11 |
| 1144367731 | Mary Ellen Foster | Pharmacist | 220 N Cardinal Ave, Addison, IL 60101-2911 | 2007-01-31 |
| 1619069713 | Nikhilesh V Patel | Pharmacist | 511 W Lake St, Addison, IL 60101-2306 | 2006-09-28 |
| 1881607596 | Dexter W Hearn | Pharmacist | 70 Mchann Rd, Addison, AL 35540-2138 | 2006-08-14 |
| 1033133947 | Douglas Eric Heidbreder | Pharmacist | 100 W. Main Street, Addison, MI 49220 | 2006-07-26 |
| 1417557141 | Samarth Brahmbhatt I | Pharmacist | 1006 N Rohlwing Rd, Addison, IL 60101-1034 | 2020-10-30 |
| 1285234054 | Teodora Canick | Pharmacist | 1050 N Rohlwing Rd, Addison, IL 60101-1034 | 2020-10-29 |
| Find all providers in ADDISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.