Organization Active NPI

Kheni Pharmacy LLC

Doing business as Healthwise Pharmacy

  • Community/Retail Pharmacy
  • Gaithersburg, MD
National Provider Identifier
1871325233
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
KHENI PHARMACY LLC
Doing business as
Healthwise Pharmacy
Practice address
9997 Stedwick Rd
Gaithersburg, MD 20886-3709
Phone
(301) 363-2400
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Nilesh KheniNPI 1184476921
Title
Owner
Phone
(267) 421-8600

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 Primary

Addresses

Primary practice location

9997 Stedwick Rd
Gaithersburg, MD 20886-3709

Mailing address

9997 Stedwick Rd
Gaithersburg, MD 20886-3709

Other names 2

  • Healthwise Pharmacy Doing business as
  • Kheni Pharmacy LLC Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206002898 DC Part B Supplier - Pharmacy 1456883750 Practice locations: Gaithersburg, MD

National Provider Directory

National Provider Directory

Locations

9997 Stedwick Rd
Montgomery Village, MD 20886
Phone (301) 363-2400

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": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1871325233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9997 STEDWICK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9997 STEDWICK RD",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208863709",
            "telephone_number": "301-363-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KHENI PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "KHENI",
        "authorized_official_first_name": "NILESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-421-8600"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthwise Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kheni Pharmacy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.