Organization Active NPI

Sindhu Enterprise Inc

Doing business as Beach Street Pharmacy

  • Community/Retail Pharmacy
  • Fort Worth, TX
National Provider Identifier
1619059490
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25258 Issued in TX
Legal business name
SINDHU ENTERPRISE INC
Doing business as
Beach Street Pharmacy
Practice address
7630 N Beach St
Suite 170
Fort Worth, TX 76137-1299
Phone
(817) 427-8774
Fax
(817) 427-8776
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Samip Upadhyaya, RPHNPI 1265186621
Title
President
Phone
(817) 602-8980

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 25258 TX Primary

Addresses

Primary practice location

7630 N Beach St
Suite 170
Fort Worth, TX 76137-1299

Mailing address

7630 N Beach St
Suite 170
Fort Worth, TX 76137-1299
Phone (817) 427-8774

Other identifiers 2

IdentifierTypeStateIssuer
2099614OtherPK
145725MedicaidTX

Other names 1

  • BEACH STREET PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202001644 TX Part B Supplier - Pharmacy 8022408251 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Beach Street Pharmacy2 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

7630 N Beach St
Ste 170
Fort Worth, TX 76137
Phone (817) 427-8774

Practitioners & affiliated clinicians

Practitioners 2

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1619059490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 N BEACH ST",
            "address_2": "SUITE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371299",
            "telephone_number": "817-427-8774",
            "fax_number": "817-427-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 N BEACH ST",
            "address_2": "SUITE 170",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371299",
            "telephone_number": "817-427-8774",
            "fax_number": "817-427-8776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SINDHU ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "UPADHYAYA",
        "authorized_official_first_name": "SAMIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-602-8980",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2099614",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145725",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BEACH STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.