SUSAN HEIDTKE
NPI 1861817264
Pharmacist in Marina, CA

Active since February 22, 2014
133 GENERAL STILLWELL DR, MARINA, CA 93933(831) 883-5720 Get Directions Write a Review

NPPES record last updated: February 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Heidtke NPPES

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

SUSAN HEIDTKE (NPI 1861817264) is an individual pharmacist in Marina, California, licensed in California (69913) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1861817264
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameSUSAN HEIDTKE
Location Address133 GENERAL STILLWELL DRMarina, CA 93933-6242
Mailing Address133 General Stillwell DrMarina, CA 93933-6242 · (831) 883-5720
Sole ProprietorYes
Enumeration DateFebruary 22, 2014
NPI 1861817264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in CA · 69913
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.
133 GENERAL STILLWELL DR, Marina, CA 93933

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
133 GENERAL STILLWELL DR
MARINA, CA 93933
Pharmacist
133 GENERAL STILLWELL DR, 2306
MARINA, CA 93933
Pharmacy
133 GENERAL STILLWELL DR
MARINA, CA 93933
Pharmacist
133 GENERAL STILLWELL DR
MARINA, CA 93933

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 Susan Heidtke's NPI number?

The NPI number for Susan Heidtke is 1861817264. It was assigned to this individual provider in the NPPES registry on February 22, 2014.

Where is Susan Heidtke located?

Susan Heidtke practices at 133 General Stillwell Dr, Marina, CA 93933. The listed phone number is (831) 883-5720.

What is Susan Heidtke'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 Susan Heidtke was last updated on February 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.