Ethan Jon Heidorn, PHARMD
Pharmacist · St Louis Park, MN
Ethan Jon Heidorn, PHARMD is a pharmacist with a practice address in St Louis Park, Minnesota, and NPI 1710561386, issued on May 10, 2021. Check the license (Minnesota 124875, as entered in NPPES) with the Minnesota board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Ethan Jon Heidorn
- Credential
- PHARMD
- Primary taxonomy
- Pharmacist 183500000X
- License number
- 124875 MN
Self-reported in NPPES; status is on the state search - Practice location
- 3601 Highway 100 S, St Louis Park, MN 55416
- Phone
- (952) 926-8967
- Enumerated
- May 10, 2021
- Record last updated
- May 10, 2021 (not updated in 5 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
Also registered at 3601 Highway 100 S
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jory Aman, PHARMDPharmacist1578904611
- Deanne Dubbs, RPHPharmacist1700204971
- Matthew Kramer, PHARM.D.Pharmacist1265727168
- Lindsey MercierPharmacist1780933853
- Ronald SheldonOptometrist1710070727
- Larry Tebbe, RPHPharmacist1558656900
Verify Ethan Jon Heidorn in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 124875Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
72 pharmacist records list a practice address in St Louis Park
They are 72 of the 3,089 NPPES records with a practice address in St Louis Park, and 4,914 pharmacist records in Minnesota. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 72 in St Louis Park → All 4,914 in Minnesota → Every provider in St Louis Park →
Other pharmacist records in Minnesota
- Amy Aakhus, PHARMDMinneapolis, MN1932939725
- Kenneth Aaland, RPHSaint Cloud, MN1346264090
- Lyla Aaland, RPHFridley, MN1538434774
- Lauren Aase, PHARMDWillmar, MN1770187585
- Uzoamaka Abajue, PHARMDRochester, MN1982335295
- Basma Abd El-RahmanRoseville, MN1568748549
- Mark Abdel, PHARM. D.Brooklyn Park, MN1538438429
- Ramy AbdelhamidRoseville, MN1992308860
- Ubah Abdi, RPHSaint Paul, MN1730464710
- Sajeda Abdo, RPHMinneapolis, MN1043632953
Common questions
What is Ethan Jon Heidorn, PHARMD's NPI number?
Ethan Jon Heidorn, PHARMD's National Provider Identifier (NPI) is 1710561386, issued on May 10, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Ethan Jon Heidorn, PHARMD located?
The NPPES record lists a practice address at 3601 Highway 100 S, St Louis Park, MN, 55416. Phone: (952) 926-8967. Providers update this record themselves, so call before visiting.
How can I verify Ethan Jon Heidorn, PHARMD's license?
NPPES lists Minnesota license number 124875, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.