Provider Demographics
NPI:1346575610
Name:WORTHINGTON, HEIDI (PHARMD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:WORTHINGTON
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:578 DICK RD
Mailing Address - Street 2:
Mailing Address - City:DEPEW
Mailing Address - State:NY
Mailing Address - Zip Code:14043-1846
Mailing Address - Country:US
Mailing Address - Phone:716-683-9870
Mailing Address - Fax:716-683-2561
Practice Address - Street 1:815 HARLEM RD
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-1082
Practice Address - Country:US
Practice Address - Phone:716-827-5490
Practice Address - Fax:919-303-3761
Is Sole Proprietor?:No
Enumeration Date:2009-10-05
Last Update Date:2025-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC19448183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist