Individual provider Active NPI

Hema Trivedi-Gomes, RPH

  • Pharmacist
  • South Richmond Hill, NY
National Provider Identifier
1881862902
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
042593 Issued in NY
Practice address
12307 Liberty Ave
South Richmond Hill, NY 11419-2115
Phone
(718) 322-7320
Fax
(718) 322-7168
NPI assigned
Feb 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 042593 NY Primary

Addresses

Primary practice location

12307 Liberty Ave
South Richmond Hill, NY 11419-2115

Mailing address

2 Penn PLZ
New York, NY 10121-0101
Phone (212) 760-8107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
042593NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
RX Express Pharma LLC CurrentSince Jun 12, 2022 Accepting new patients
DSST Pharmacy Corp. PastSince Jun 12, 2022 Accepting new patients

Locations

12307 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 322-7158

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654819200000",
    "number": "1881862902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PENN PLZ",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101210101",
            "telephone_number": "212-760-8107",
            "fax_number": "212-760-2785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12307 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114192115",
            "telephone_number": "718-322-7320",
            "fax_number": "718-322-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI-GOMES",
        "first_name": "HEMA",
        "name_prefix": "Mrs.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "042593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.