DR. HEATHER MARCELLE RICKERTSEN PHARM D RPH NPI 1598837494

NPI Information

  • NPI: 1598837494
  • Provider Name: DR. HEATHER MARCELLE RICKERTSEN, PHARM D RPH
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 2826 W LOCUST ST STE 1
    DAVENPORT, IA
    ZIP 52804
  • Phone: (563) 332-8528

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NPI Details

DR. Heather Marcelle Rickertsen, PHARM D RPH is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Davenport, IA. The provider is pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. DR. Heather Marcelle Rickertsen, PHARM D RPH NPI is 1598837494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2826 W LOCUST ST STE 1
DAVENPORT, IA
ZIP 52804-354
Phone: (563) 332-8528

The enumeration date for this NPI number is 11/15/2006 and was last updated on 12/12/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist20196IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11014813MEDICAIDIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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