Provider Demographics
NPI:1881285112
Name:HOOPINGARNER, HEIDI LOUISE SMITH (RPH, PHARMD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:LOUISE SMITH
Last Name:HOOPINGARNER
Suffix:
Gender:F
Credentials:RPH, PHARMD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:LOUISE
Other - Last Name:SMITH HOOPINGARNER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPH, PHARMD
Mailing Address - Street 1:4819 BRIGHTMOUR CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32837-4920
Mailing Address - Country:US
Mailing Address - Phone:407-493-7080
Mailing Address - Fax:
Practice Address - Street 1:4819 BRIGHTMOUR CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-4920
Practice Address - Country:US
Practice Address - Phone:407-493-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS349331835P0018X, 1835P0200X, 1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Multi-Specialty
No1835P0200XPharmacy Service ProvidersPharmacistPediatricsGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
239909OtherNATIONAL ASSOCIATION OF THE BOARDS OF PHARMACY (NABP)
FLPS34933OtherFLORIDA BOARD OF PHARMACY