Organization Active NPI

Heidi Pharmacy, Inc

Doing business as Heidi Pharmacy

  • Community/Retail Pharmacy
  • New York, NY
National Provider Identifier
1871837203
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
000000 Issued in NY
Legal business name
HEIDI PHARMACY, INC
Doing business as
Heidi Pharmacy
Practice address
522 W 181St St
New York, NY 10033-5101
Phone
(212) 740-3737
Fax
(212) 740-4044
NPI assigned
Nov 26, 2012
Last updated
Nov 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Manoj Barot, RPH
Title
President
Phone
(212) 740-3737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 000000 NY Primary

Addresses

Primary practice location

522 W 181St St
New York, NY 10033-5101

Mailing address

522 W 181St St
New York, NY 10033-5101
Phone (212) 740-3737

Other names 1

  • HEIDI PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130409000072 NY DME Supplier - Pharmacy 2668618059 Practice locations: New York, NY
O20250512000713 NY Part B Supplier - Pharmacy 2668618059 Practice locations: New York, NY

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": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1871837203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335101",
            "telephone_number": "212-740-3737",
            "fax_number": "212-740-4044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W 181ST ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100335101",
            "telephone_number": "212-740-3737",
            "fax_number": "212-740-4044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "BAROT",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-740-3737",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "000000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEIDI PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.