Organization Active NPI

Hemendra Goyal

Doing business as Ameri Mex Pharmacy

  • Community/Retail Pharmacy
  • Brawley, CA
National Provider Identifier
1528304391
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
50735 Issued in CA
Legal business name
HEMENDRA GOYAL
Doing business as
Ameri Mex Pharmacy
Practice address
196 W Legion Rd Suite. a
Brawley, CA 92227-3124
Phone
(760) 344-2400
Fax
(760) 344-4300
NPI assigned
Dec 21, 2012
Last updated
Jun 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Dr. Hemendra GoyalNPI 1083028609
Title
Pharmacist-in-Charge
Phone
(760) 554-1372

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 50735 CA Primary

Addresses

Primary practice location

196 W Legion Rd Suite. a
Brawley, CA 92227-3124

Mailing address

196 W Legion Rd Suite. a
Brawley, CA 92227-3124
Phone (760) 344-2400

Other practice location 1

610 S Brawley Ave
Brawley, CA 92227-3124
Phone (760) 344-2400

Other identifiers 1

IdentifierTypeStateIssuer
1528304391MedicaidCA

Other names 2

  • AMERI MEX PHARMACY Doing business as
  • HEMENDRA GOYAL Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL WWW.AMERIMEXPHARMACY.COM Direct

National Provider Directory

National Provider Directory

Locations

610 S Brawley Ave
Brawley, CA 92227
Phone (760) 344-2400

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": "1356048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1528304391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 W LEGION RD SUITE. A",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273124",
            "telephone_number": "760-344-2400",
            "fax_number": "760-344-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 W LEGION RD SUITE. A",
            "city": "BRAWLEY",
            "state": "CA",
            "postal_code": "922273124",
            "telephone_number": "760-344-2400",
            "fax_number": "760-344-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 S Brawley Ave",
            "address_purpose": "LOCATION",
            "city": "Brawley",
            "state": "CA",
            "postal_code": "922273124",
            "country_code": "US",
            "telephone_number": "760-344-2400",
            "fax_number": "760-344-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEMENDRA GOYAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-21",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "GOYAL",
        "authorized_official_first_name": "HEMENDRA",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "760-554-1372",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "50735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528304391",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WWW.AMERIMEXPHARMACY.COM",
            "affiliation": "N",
            "endpointDescription": "PHARMACY WEBSITE",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "196 W Legion Rd Ste A",
            "city": "Brawley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922277713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "AMERI MEX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEMENDRA GOYAL",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Brawley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.