Organization Active NPI

Shree Ganesh Pharmacy

  • Community/Retail Pharmacy
  • Reading, PA
National Provider Identifier
1154435493
Registry record updated Oct 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SHREE GANESH PHARMACY
Practice address
900 Penn St
Reading, PA 19602-1796
Phone
(610) 374-1444
Fax
(610) 375-6362
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aarti Jani
Title
Pharmacist in Charge / Owner
Phone
(610) 374-1444

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

900 Penn St
Reading, PA 19602-1796

Mailing address

900 Penn St
Reading, PA 19602-1717
Phone (610) 374-1444

Other identifiers 2

IdentifierTypeStateIssuer
104048678-0001MedicaidPA
3925510OtherNABP NO.

Other names 1

  • Penn Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221116000841 PA Part B Supplier - Pharmacy 6103294525 Practice locations: Reading, PA

National Provider Directory

National Provider Directory

Locations

900 Penn St
Reading, PA 19602
Phone (610) 374-1444

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665187200000",
    "number": "1154435493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021717",
            "telephone_number": "610-374-1444",
            "fax_number": "610-375-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PENN ST",
            "city": "READING",
            "state": "PA",
            "postal_code": "196021796",
            "telephone_number": "610-374-1444",
            "fax_number": "610-375-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHREE GANESH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2022-10-08",
        "certification_date": "2022-10-08",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "AARTI",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE / OWNER",
        "authorized_official_telephone_number": "610-374-1444"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104048678-0001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NO.",
            "identifier": "3925510",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Penn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Penn Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.