Organization Active NPI

Hare Govind LLC

Doing business as Heritage Pharmacy

  • Pharmacist
  • Washington Crossing, PA
National Provider Identifier
1356334585
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PP415365L Issued in PA
Legal business name
HARE GOVIND LLC
Doing business as
Heritage Pharmacy
Practice address
1091 General Knox Rd
Washington Crossing, PA 18977-1359
Phone
(215) 321-7670
Fax
(215) 321-7640
NPI assigned
Aug 23, 2005
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Manoj ParikhNPI 1376826735
Title
Owner/Pharmacist
Phone
(215) 321-7670

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
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PP415365L PA Primary

Addresses

Primary practice location

1091 General Knox Rd
Washington Crossing, PA 18977-1359

Mailing address

1091 General Knox Rd
Washington Crossing, PA 18977-1359
Phone (215) 321-7670

Other identifiers 1

IdentifierTypeStateIssuer
103964059MedicaidPA

Other names 1

  • HERITAGE PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20130905000034 PA Part B Supplier - Mass Immunization (Roster Biller Only) 9830306943 Practice locations: Washington Crossing, PA
O20220110000795 PA Part B Supplier - Pharmacy 6608268339 Practice locations: Washington Crossing, PA
O20220314000278 PA Part B Supplier - Mass Immunization (Roster Biller Only) 6608268339 Practice locations: Washington Crossing, PA

National Provider Directory

National Provider Directory
Tax ID family
Hare Govind LLC2 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

1099 General Knox Rd
Washington Crossing, PA 18977
Phone (215) 321-7670

1091 General Knox Rd
Ste 9
Washington Xing, PA 18977
Phone (215) 321-7670

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1356334585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 GENERAL KNOX RD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771359",
            "telephone_number": "215-321-7670",
            "fax_number": "215-321-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 GENERAL KNOX RD",
            "city": "WASHINGTON CROSSING",
            "state": "PA",
            "postal_code": "189771359",
            "telephone_number": "215-321-7670",
            "fax_number": "215-321-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARE GOVIND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "PARIKH",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "215-321-7670"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP415365L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103964059",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HERITAGE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Washington Crossing, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.