Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Heidi Rubach Kallivayalil, PHARMD

Individual provider Pharmacist · NPI 1699742726

Dr. Heidi Rubach Kallivayalil, PHARMD is a Pharmacist in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2006
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

13033 Harborton Dr
Jacksonville, FL 32224-8498
Phone: (904) 894-3213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence PS40287 (FL)

Record details

NPI number1699742726
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedMarch 7, 2006
Last updated in NPPESAugust 24, 2016

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