What is Ethan Heidorn's NPI number?

Ethan Heidorn's National Provider Identifier (NPI) is 1710561386, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Ethan Heidorn's specialty?

Ethan Heidorn is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Ethan Heidorn located?

Ethan Heidorn's practice location on file with NPPES is 3601 Highway 100 S, St Louis Park, MN 55416-2500.

What is Ethan Heidorn's phone number?

The practice phone number listed in the NPPES registry for Ethan Heidorn is (952) 926-8967.

Is Ethan Heidorn's NPI active?

Yes — Ethan Heidorn's NPI (1710561386) is active in the NPPES registry as of the last update on 2021-05-10.

IndividualActive

Ethan Heidorn, PHARMD

NPI 1710561386 · Pharmacist · St Louis Park, MN

Ethan Heidorn, PHARMD is a Pharmacist provider in St Louis Park, MN (NPI 1710561386).

Provider details

NPI number: 1710561386
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD
Sex: Male
Sole proprietor: Yes
License: 124875 (MN)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 124875 (MN)
Pharmacy Service Providers

Profile Score

Established profile(62/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
5 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3601 Highway 100 S

St Louis Park, MN 55416-2500

Phone: (952) 926-8967

Approximate (ZIP-level) locationGet directions

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Mailing address