Heritage Park Pharmacy Inc
NPI 1780661751ActiveOrganization· Pharmacist· West Burlington, IA
Pharmacist in West Burlington, Iowa, registered in NPPES in December 2005. The authorized official on file is Jeremy Alexander, Ceo. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1780661751 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 29, 2005 |
| Last updated in NPPES | Sep 16, 2026 |
| Certified by provider | Sep 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 1060 | IA |
| Pharmacy, Long Term Care Pharmacy | 3336L0003X | 1060 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IA) |
|---|
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