Organization Active NPI

Windsor Pharma Inc

Doing business as Windsor Pharmacy

  • Community/Retail Pharmacy
  • Levittown, PA
National Provider Identifier
1679800452
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PP412930L Issued in PA
Legal business name
WINDSOR PHARMA INC
Doing business as
Windsor Pharmacy
Practice address
1508 Haines Rd
Levittown, PA 19055-1802
Phone
(215) 945-1125
Fax
(215) 945-2818
NPI assigned
Nov 16, 2009
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Mrs. Himaja Paruchuri, RPHNPI 1386898906
Title
President
Phone
(215) 945-1125

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 PP412930L PA Primary

Addresses

Primary practice location

1508 Haines Rd
Levittown, PA 19055-1802

Mailing address

1508 Haines Rd
Levittown, PA 19055-1802
Phone (215) 945-1125

Other identifiers 2

IdentifierTypeStateIssuer
102300789001MedicaidPA
3992991OtherPANCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • WINDSOR PHARMACY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930096030 PA DME Supplier - Pharmacy 6103024070 Practice locations: Levittown, PA

National Provider Directory

National Provider Directory

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": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1679800452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1508 HAINES RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551802",
            "telephone_number": "215-945-1125",
            "fax_number": "215-945-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 HAINES RD",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190551802",
            "telephone_number": "215-945-1125",
            "fax_number": "215-945-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "PARUCHURI",
        "authorized_official_first_name": "HIMAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-945-1125",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP412930L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102300789001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3992991",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINDSOR PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Levittown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; 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.