HERITAGE PHARMACY INC (NPI# 1356334585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356334585 |
| Entity Type | Organization |
| Organization Name | HERITAGE PHARMACY INC |
| Other Organization Name | HERITAGE PHARMACY |
| Practice Address |
1091 General Knox Rd Washington Crossing PA 18977-1359 |
| Mailing Address |
Po Box 742 Washington Crossing PA 18977-0742 |
| Practice Telephone | 2153217670 |
| Practice Fax Number | 2153217640 |
| Mailing Telephone | 2153217670 |
| Mailing Fax Number | 2153217640 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2010-03-29 |
| Authorized Official Name | MR. CHARLES E LEBEGERN (CO-OWNER/PRES/PHARMACIST) |
| Authorized Official Telephone | 2153217670 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PP415365L | PA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0016757510001 | 05 |
| Other Name | Type Code |
|---|---|
| Heritage Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750699468 | Heritage Pharmacy Inc | Pharmacy | 1722 W Us Highway 19e, Burnsville, NC 28714-8602 | 2010-09-15 |
| 1811005283 | Heritage Pharmacy Inc | Pharmacy | 14709 Champaign Rd, Allen Park, MI 48101-1616 | 2006-08-27 |
| 1710954631 | Heritage Pharmacy Inc | Pharmacy | 3675 Dolson Ct, Carroll, OH 43112-9721 | 2006-03-01 |
| 1316480486 | Heritage Pharmacy Inc | Pharmacy | 233 E Tremont Ave, Bronx, NY 10457-5303 | 2016-11-22 |
| 1003086141 | Heritage Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 14709 Champaign Rd, Allen Park, MI 48101-1616 | 2008-03-05 |
| 1467564476 | Heritage Pharmacy Inc | Pharmacy | 3675 Dolson Ct, Carroll, OH 43112-9721 | 2006-08-31 |
| 1548281736 | Heritage Pharmacy Inc | Pharmacy | 401 N 9th St, Bismarck, ND 58501-4530 | 2006-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HERITAGE PHARMACY INC. | 233 E. Tremont Avenue, Bronx, New York 10457 |
| North Carolina Corporations | Heritage Pharmacy Inc. | 1722 W. U Hwy 19e, Burnsville, NC 28714 |
| Street Address |
1091 GENERAL KNOX RD |
| City | WASHINGTON CROSSING |
| State | PA |
| Zip Code | 18977-1359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457792020 | Kamlesh Manubhai Patel | Dentist | 1091 General Knox Rd, Washington Crossing, PA 18977-1359 | 2013-07-11 |
| 1306197843 | Charles Eugene Lebegern | Pharmacist | 1091 General Knox Rd, Washington Crossing, PA 18977-1359 | 2012-09-24 |
| 1639218464 | Colonial Dental Associates | Dentist | 1091 General Knox Rd, Washington Crossing, PA 18977 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861702938 | Shalini Sethi | Dentist | 1091 General Knox Road, Washington Crossing, PA 18977 | 2010-10-07 |
| 1477687200 | Lauren Carruth Mehnert | Family Medicine | 1240 General Washington Mem Blvd Ste 3, Washington Crossing, PA 18977 | 2007-03-15 |
| 1174619829 | Edward W. Zikoski | Optometrist | 1098 Washington Crossing Rd, Suite 5, Washington Crossing, PA 18977 | 2006-10-04 |
| 1114024437 | Charles Candee Whitney IIi | Family Medicine | 1121 General Washington Memorial Boulevard, Washington Crossing, PA 18977 | 2006-09-20 |
| 1427005461 | Bucks County Wellness Centre Washington Crossing | Chiropractor | 1082 Taylorsville Rd, Washington Crossing, PA 18977 | 2006-05-27 |
| 1699930354 | Patricia R Mcgettigan | Psychologist | 1098 Washington Crossing Rd, The Crossings Building - Suite 1, Washington Crossing, PA 18977 | 2008-07-22 |
| 1225397599 | Peter Roger Heisen | Internal Medicine | 38 Timber Knoll Dr, Washington Crossing, PA 18977-1000 | 2012-05-08 |
| 1841673860 | Ross Evan Monroe | Physician Assistant | 35 Bailey Dr, Washington Crossing, PA 18977-1007 | 2015-07-08 |
| 1881093060 | Deborah Pigott | Occupational Therapist | 10 Bankers Dr, Washington Crossing, PA 18977-1014 | 2014-08-14 |
| 1205046067 | Patricia Dibble Mailey | Social Worker | 31 Dunkin Dr, Washington Crossing, PA 18977-1021 | 2007-05-23 |
| Find all providers in zip 18977 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114134038 | Kenneth Warren Dietel Sr. | Pharmacist | 24 Betts Dr, Washington Crossing, PA 18977-1355 | 2007-05-17 |
| 1306197843 | Charles Eugene Lebegern | Pharmacist | 1091 General Knox Rd, Washington Crossing, PA 18977-1359 | 2012-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063013704 | Truong Vu | Pharmacist | 1675 Christopher Columbus Blvd, Philadelphia, PA 19148-1402 | 2020-11-07 |
| 1376144212 | Gyuzel Gold | Pharmacist | 3668 Hancock Ln, Doylestown, PA 18902-6544 | 2020-11-06 |
| 1619578424 | Laurie A Fisher | Pharmacist | 325 W Freedom Ave, Burnham, PA 17009-1846 | 2020-11-06 |
| 1073114880 | Lawrence Roettenbacher | Pharmacist | 3560 Route 611 Ste 105, Bartonsville, PA 18321-9452 | 2020-11-06 |
| 1104427186 | Hannah Bae | Pharmacist | 315 N York Rd, Willow Grove, PA 19090-2621 | 2020-11-05 |
| 1285235283 | Luann Orehek Reno | Pharmacist | 567 Pa- 100 N, Bechtelsville, PA 19505 | 2020-11-05 |
| 1558962571 | Ashley Lynn Martire | Pharmacist | 3015 W Emaus Ave, Allentown, PA 18103-7107 | 2020-11-05 |
| 1184225237 | Scott Borkenhagen | Pharmacist | 3722 Nazareth Rd, Easton, PA 18045-8340 | 2020-11-05 |
| 1114528189 | Andrew Francis Christine | Pharmacist | 830 N Us Route 15, Dillsburg, PA 17019-1617 | 2020-11-05 |
| 1073114070 | Casey Joe Kulago | Pharmacist | 2121 S Atherton St, State College, PA 16801-7610 | 2020-11-05 |
| Find all providers with the same taxonomy | ||||
| City | WASHINGTON CROSSING |
| Zip Code | 18977 |
Please comment or provide details below to improve the information on HERITAGE PHARMACY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.