NPIMap

Organization Active NPI

Sindhu Enterprise Inc

Doing business as Heritage Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1154459352
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25421 Issued in TX
Legal business name
SINDHU ENTERPRISE INC
Doing business as
Heritage Pharmacy
Practice address
3529 Heritage Trace Pkwy
Ste 141
Fort Worth, TX 76244-4970
Phone
(817) 741-7100
Fax
(817) 741-7101
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Ramu Gunda, RPHNPI 1487307518
Title
Secretary
Phone
(817) 741-7100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 25421 TX Primary

Addresses

Primary practice location

3529 Heritage Trace Pkwy
Ste 141
Fort Worth, TX 76244-4970

Mailing address

3529 Heritage Trace Pkwy
Ste 141
Fort Worth, TX 76244-4970
Phone (817) 741-7100

Other identifiers 2

IdentifierTypeStateIssuer
145771MedicaidTX
2100004OtherPK

Other names 1

  • HERITAGE PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202001644 TX Part B Supplier - Pharmacy 8022408251 1 other NPI on this enrollment
Practice locations: Fort Worth, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Beach Street Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3529 Heritage Trace Pkwy
Ste 141
Fort Worth, TX 76244
Phone (817) 741-7100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1154459352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY",
            "address_2": "STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444970",
            "telephone_number": "817-741-7100",
            "fax_number": "817-741-7101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3529 HERITAGE TRACE PKWY",
            "address_2": "STE 141",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762444970",
            "telephone_number": "817-741-7100",
            "fax_number": "817-741-7101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINDHU ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "GUNDA",
        "authorized_official_first_name": "RAMU",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "817-741-7100",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145771",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100004",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.