Organization Active NPI

Namaste Neighborhood Pharmacy LLC

  • Community/Retail Pharmacy
  • Harrisburg, PA
National Provider Identifier
1265199707
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NAMASTE NEIGHBORHOOD PHARMACY LLC
Practice address
200 S Progress Ave
Harrisburg, PA 17109-4626
Phone
(404) 936-8350
NPI assigned
Nov 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Manoj Pradhan, DR.NPI 1093288722
Title
Ceo
Phone
(404) 936-8350

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

200 S Progress Ave
Harrisburg, PA 17109-4626

Mailing address

4236 Kings Troop Rd
Stone Mountain, GA 30083-4707
Phone (404) 936-8350

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220425001397 PA Part B Supplier - Pharmacy 5092102939 Practice locations: Harrisburg, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2266109Namaste Neighborhood Pharmacy LLC200 S Progress Avenue, Harrisburg, PA 17109Certificate of waiverAug 4, 2026

National Provider Directory

National Provider Directory

Locations

200 S Progress Ave
Harrisburg, PA 17109
Phone (717) 526-4881

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": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1265199707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4236 KINGS TROOP RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834707",
            "telephone_number": "404-936-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S PROGRESS AVE",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094626",
            "telephone_number": "404-936-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAMASTE NEIGHBORHOOD PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "PRADHAN",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-936-8350",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.