Jacqueline Heineman, PHARM D is a
Pharmacist based in Coeur D'alene, Idaho. Jacqueline Heineman is licensed to practice in Idaho (license number P6454) and her current practice location is
2003 Kootenai Healthy Way Pharmacy, Coeur D'alene, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 765-9586.
NPI number for Jacqueline Heineman is 1376898742 and her current mailing address is 2003 Kootenai Healthy Way- Pharmacy, Coeur D Alene, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376898742.
Healthcare Provider's Profile
| Full Name | Jacqueline Heineman |
|---|
| Gender | Female |
|---|
| Speciality | Pharmacist |
|---|
| Location | 2003 Kootenai Healthy Way Pharmacy, Coeur D'alene, Idaho |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1376898742
- Provider Enumeration Date: 07/20/2012
- Last Update Date: 12/29/2016
Medical Identifiers
Medical identifiers for Jacqueline Heineman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1376898742 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 183500000X | Pharmacist | P6454 (Idaho) | Primary |
| 183500000X | Pharmacist | PH60191857 (Washington) | Secondary |
| 183500000X | Pharmacist | 6281 (Montana) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Heineman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jacqueline Heineman, PHARM D
2003 Kootenai Healthy Way- Pharmacy,
Coeur D Alene, ID 83814
Ph: () - | Jacqueline Heineman, PHARM D
2003 Kootenai Healthy Way Pharmacy,
Coeur D'alene, ID 83814
Ph: (208) 765-9586 |
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