Organization Active NPI

Wind Gap Community Pharmacy Inc

  • Community/Retail Pharmacy
  • Wind Gap, PA
National Provider Identifier
1396214680
Registry record updated Nov 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
WIND GAP COMMUNITY PHARMACY INC
Practice address
31 W 1St St Unit B
Wind Gap, PA 18091-1515
Phone
(610) 881-4260
Fax
(610) 881-4270
NPI assigned
Nov 16, 2018
Last updated
Nov 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2018

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

Authorized official

Name
Umesh Patel
Title
President
Phone
(484) 274-5428

Specialties & licenses 1

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

Addresses

Primary practice location

31 W 1St St Unit B
Wind Gap, PA 18091-1515

Mailing address

31 W 1St St Unit B
Wind Gap, PA 18091-1515
Phone (610) 881-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20211122003139 PA Part B Supplier - Pharmacy 7810308343 Practice locations: Wind Gap, PA
O20211223001218 PA Part B Supplier - Independent Clinical Laboratory 7810308343 Practice locations: Wind Gap, PA

National Provider Directory

National Provider Directory

Locations

31 W 1st St
Wind Gap, PA 18091
Phone (610) 417-4132

31 W 1st St
Unit B
Wind Gap, PA 18091
Phone (610) 881-4260

Practitioners & affiliated clinicians

Practitioners 1

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": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542326400000",
    "number": "1396214680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W 1ST ST UNIT B",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911515",
            "telephone_number": "610-881-4260",
            "fax_number": "610-881-4270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W 1ST ST UNIT B",
            "city": "WIND GAP",
            "state": "PA",
            "postal_code": "180911515",
            "telephone_number": "610-881-4260",
            "fax_number": "610-881-4270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND GAP COMMUNITY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2018-11-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "UMESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "484-274-5428"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wind Gap, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.