Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jeanine Heedles, PHARMD

Individual provider Pharmacist · NPI 1891391967

Jeanine Heedles, PHARMD is a Pharmacist in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2020
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

1361 Hylan Blvd
Staten Island, NY 10305-1956
Phone: (718) 979-2828
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 063464 (NY)

Record details

NPI number1891391967
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedDecember 4, 2020
Last updated in NPPESDecember 4, 2020
Certification dateDecember 4, 2020

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