DR. WADE ANTHONY HEIDEMANN (NPI# 1609117506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609117506 |
| Entity Type | Individual |
| Full Name | DR. WADE ANTHONY HEIDEMANN |
| Credential | PHARM D |
| Practice Address |
711 Kasota Ave Se Minneapolis MN 55414-2842 |
| Practice Telephone | 6126725911 |
| Mailing Telephone | 6126725911 |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2013-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
117788 | MN | Pharmacy Service Providers |
| Street Address |
711 KASOTA AVE SE |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55414-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427055565 | Nichole Leigh Stephane | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2005-07-05 |
| 1912506825 | Emma Louise Huepfel | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2020-10-21 |
| 1700404068 | Caitlin Teresa Pederson | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2020-07-13 |
| 1396120184 | Sarah Kae Derr | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2015-07-22 |
| 1285043349 | Hannah Dambek | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2014-08-03 |
| 1083046429 | Allison Justine Johnson | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2013-08-08 |
| 1528309150 | Alexandra Demello | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2013-03-06 |
| 1558605196 | Fairview Pharmacy Services LLC | Pharmacy | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2012-11-20 |
| 1437414356 | Kaitlin Jean Yost | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2012-07-06 |
| 1548535610 | Paul Fischer | Pharmacist | 711 Kasota Ave Se, Minneapolis, MN 55414-2842 | 2012-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407496516 | Liza N Meredith | Psychologist | Acacia Counseling and Wellness, 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2020-01-07 |
| 1346888732 | Danielle Lee Ann Vogler-bos | Naturopath | 575 Se 9th St, Suite #52, Minneapolis, MN 55414 | 2019-12-16 |
| 1164071148 | Amy C Moran | Psychologist | Acacia Counseling & Wellness, 2724 University Ave., Unit B, Minneapolis, MN 55414 | 2019-09-11 |
| 1346806585 | Kristen Bastug | Student in an Organized Health Care Education/Training Program | General Pediatrics and Adolescent Health, 1932k, 1717 Delaware Street Southeast, Suite 353, Minneapolis, MN 55414 | 2019-05-14 |
| 1053881698 | Lauren Michelle Scholder | Psychologist | 401 Main St Se Apt 7009, Minneapolis, MN 55414 | 2018-11-27 |
| 1427530666 | Kelli Howard | Psychologist | 2724 University Ave Se Unit B, Minneapolis, MN 55414 | 2018-09-04 |
| 1306370218 | Jiexiong Yang | Student in an Organized Health Care Education/Training Program | 814 Essex St Se, Minneapolis, MN 55414 | 2017-04-18 |
| 1598297699 | Patrick Curran | Student in an Organized Health Care Education/Training Program | 628 University Ave Se, Apt. 112, Minneapolis, MN 55414 | 2017-03-29 |
| 1679923957 | Jillian Theresa Tholen | Dietitian, Registered | 411 E Hennepin Ave, Minneapolis, MN 55414 | 2016-06-16 |
| 1073960290 | First Language Interpreter & Translation Services LLC | Interpreter | 2828 University Ave Se Suite 150, Minneapolis, MN 55414 | 2016-05-17 |
| Find all providers in zip 55414 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174160832 | Susan Jacobson | Pharmacist | One Veterans Drive (119), Minneapolis, MN 55417 | 2019-12-02 |
| 1649594912 | Joel Michael Albers | Pharmacist | West Bank Pharmacy 327 Cedar Ave, Minneapolis, MN 55454 | 2010-03-16 |
| 1366689002 | Saida Mohamed | Pharmacist | 1822 E Lake St, Minneapolis, MN 55407-1879 | 2009-01-16 |
| 1164041851 | Ann Nagle | Pharmacist | 2020 E 28th St, Minneapolis, MN 55407-1394 | 2020-04-13 |
| 1932754421 | Brittney Marie Worth | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2019-08-02 |
| 1134683675 | Kellianne Tang | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2019-01-29 |
| 1811478076 | Gina Marie Jennissen | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-08-26 |
| 1396232724 | Rachel Elizabeth Rockwell | Pharmacist | 701 W Broadway Ave, Minneapolis, MN 55411-2611 | 2018-04-20 |
| 1053813170 | Jennifer Ann Zenker | Pharmacist | 1 Veterans Dr, Minneapolis, MN 55417-2309 | 2018-03-05 |
| 1396267621 | Lauren Turner Bloch | Pharmacist | 909 Fulton St Se, Minneapolis, MN 55455-4800 | 2017-07-07 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55414 |
Please comment or provide details below to improve the information on DR. WADE ANTHONY HEIDEMANN.
| 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.