Active NPI
Hare Govind LLC
Doing business as Heritage Pharmacy
- Pharmacist
- Washington Crossing, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PP415365L
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manoj Parikh
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103964059 | Medicaid | PA |
Other names 1
- HERITAGE PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Washington Crossing, PA
- NPI 1568313583
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.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Washington Crossing, PA
- NPI 1376826735
-
- Pharmacist
- Washington Crossing, PA
- NPI 1306197843
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.