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KEITH FREAL VAN HEISE PHARM D
NPI 1508995994
Pharmacist in Avondale, AZ

Active since March 03, 2007
12906 W WILSHIRE DR, AVONDALE, AZ 85323(602) 740-6984 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith Freal Van Heise Pharm D NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH FREAL VAN HEISE PHARM D (NPI 1508995994) is an individual pharmacist in Avondale, Arizona, licensed in Arizona (13731) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1508995994
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKEITH FREAL VAN HEISECredential: PHARM D
Location Address12906 W WILSHIRE DRAvondale, AZ 85323-7134
Mailing Address12906 W Wilshire DrAvondale, AZ 85323-7134 · (602) 740-6984
Phone(602) 740-6984
Sole ProprietorYes
Enumeration DateMarch 3, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508995994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in AZ · 13731
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
12906 W WILSHIRE DR, Avondale, AZ 85323
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Van Heise's NPI number?

The NPI number for Keith Van Heise is 1508995994. It was assigned to this individual provider in the NPPES registry on March 3, 2007.

Where is Keith Van Heise located?

Keith Van Heise practices at 12906 W Wilshire Dr, Avondale, AZ 85323. The listed phone number is (602) 740-6984.

What is Keith Van Heise's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Keith Van Heise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.