NPIMap

Organization Active NPI

Mookambika Inc

  • Long Term Care Pharmacy
  • Hartford, MI
National Provider Identifier
1942182183
Registry record updated Jul 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
MOOKAMBIKA INC
Doing business as
HARTFORD PHARMACY
Practice address
30 W Main St
Hartford, MI 49057-1005
Phone
(269) 497-4455
Fax
(269) 497-2244
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2025

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

Authorized official

Name
Mr. Gitendra Bommareddy
Title
Owner
Phone
(269) 501-7359

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

30 W Main St
Hartford, MI 49057-1005

Mailing address

30 W Main St
Hartford, MI 49057-1005
Phone (269) 497-4455

Other names 1

  • HARTFORD PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hartford Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

30 W Main St
Hartford, MI 49057
Phone (269) 497-4455

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753056000000",
    "number": "1942182183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571005",
            "telephone_number": "269-497-4455",
            "fax_number": "269-497-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W MAIN ST",
            "city": "HARTFORD",
            "state": "MI",
            "postal_code": "490571005",
            "telephone_number": "269-497-4455",
            "fax_number": "269-497-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOOKAMBIKA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2025-07-21",
        "certification_date": "2025-07-21",
        "status": "A",
        "authorized_official_last_name": "BOMMAREDDY",
        "authorized_official_first_name": "GITENDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-501-7359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HARTFORD PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hartford, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2025; 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.