Provider Demographics
NPI:1609163401
Name:HEIMS, EMILY (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:
Last Name:HEIMS
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 1:4271 ROLING RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:IA
Mailing Address - Zip Code:52078-9660
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4271 ROLING RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:IA
Practice Address - Zip Code:52078-9660
Practice Address - Country:US
Practice Address - Phone:563-590-4073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21238183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist