P Praxis·MD
● Active Type 1 · Individual

DR. Alexandra Louise Heyneman, PHARMD

Pharmacist·Chubbuck, ID· NPI 1396473096 · Enumerated 2022 · 3 years on NPI
Heyneman is 1 of 25 pharmacist providers in Chubbuck and 1 of 1739 in Idaho.
NPI age
3 years
Enumerated 2022-08-10
Primary specialty
Pharmacist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-05-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1739 active pharmacist providers in Idaho.

NPI age
3 years
↓ 7 yr below median (10 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
0
15% of peers hold subspecialties

NPI lifetime · 2022 → 2026

2022-08Enumerated in NPPES
2022 2026

Where they practice

Practice location
407 E Chubbuck Rd
Chubbuck, ID 83202
📞 2089132273fax 2085675615
Mailing address
Po Box 2851
Pocatello, ID 832062851
📞 2089132273fax 2085675615

Additional practice locations

1 secondary location on file with NPPES.

Location 2
905 Yellowstone Ave
Pocatello, ID 832014416
📞 2082332382

Specialties

  • Pharmacist Primary
    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,...
    ID license #P10180 taxonomy 183500000X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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