Organization Active NPI

Healing Wonders LLC

  • Community/Retail Pharmacy
  • Commerce, TX
National Provider Identifier
1790250801
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HEALING WONDERS LLC
Practice address
1609 Live Oak St
Commerce, TX 75428-2549
Phone
(903) 820-8200
Fax
(888) 965-9306
NPI assigned
Oct 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Hari Krishna Chintapalli, RPH
Title
Officer
Phone
(305) 781-2454

Specialties & licenses 1

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

Addresses

Primary practice location

1609 Live Oak St
Commerce, TX 75428-2549

Mailing address

14754 Story LN
Frisco, TX 75035-1235
Phone (305) 781-2454

Other identifiers 1

IdentifierTypeStateIssuer
149909MedicaidTX

Other names 1

  • JOE PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

1710 Live Oak St
Commerce, TX 75428
Phone (305) 781-2454

1620 Texoma Pkwy
Sherman, TX 75090

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1790250801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14754 STORY LN",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750351235",
            "telephone_number": "305-781-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 LIVE OAK ST",
            "city": "COMMERCE",
            "state": "TX",
            "postal_code": "754282549",
            "telephone_number": "903-820-8200",
            "fax_number": "888-965-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING WONDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "CHINTAPALLI",
        "authorized_official_first_name": "HARI",
        "authorized_official_middle_name": "KRISHNA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "305-781-2454",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149909",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JOE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JOE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commerce, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.