MEDICARE: DR. TYLER JOHN HEIMAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	1-103095	KS

General Provider Information

NPI Number	:	1750869467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TYLER JOHN HEIMAN PHARMD

Provider Business Mailing Address
First Line	:	130 SARBER LN
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-5002
Country	:	US
Telephone Number	:	785-776-0060
Fax Number	:

Provider Business Practice Location Address
First Line	:	130 SARBER LN
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66502-5002
Country	:	US
Telephone Number	:	785-776-0060
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2018
Last Update Date	:	06/17/2026

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