Organization Active NPI

Sri Ganesh Pharmacy of Hyndman Inc

  • Community/Retail Pharmacy
  • Hyndman, PA
National Provider Identifier
1992064737
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SRI GANESH PHARMACY OF HYNDMAN INC
Practice address
138 Washington St
Hyndman, PA 15545-7118
Phone
(814) 842-3201
Fax
(814) 842-3711
NPI assigned
May 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Tejas Sheth, RPH
Title
Co-Owner
Phone
(814) 842-3201

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

138 Washington St
Hyndman, PA 15545-7118

Mailing address

138 Washington St
Hyndman, PA 15545-7118
Phone (814) 842-3201

Other names 1

  • POTOMAC VALLEY PHARMACY HYNDMAN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Potomac Valley 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1992064737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 WASHINGTON ST",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155457118",
            "telephone_number": "814-842-3201",
            "fax_number": "814-842-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 WASHINGTON ST",
            "city": "HYNDMAN",
            "state": "PA",
            "postal_code": "155457118",
            "telephone_number": "814-842-3201",
            "fax_number": "814-842-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRI GANESH PHARMACY OF HYNDMAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "TEJAS",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "814-842-3201",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "POTOMAC VALLEY PHARMACY HYNDMAN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hyndman, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.