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Heritage Pharmacy Incorporated

Community/Retail Pharmacy in Desoto, TX · enumerated 2006 · authorized official Naibon Moore, Managing Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1255445243

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Registry record

Entity type Organization (Type 2)
Legal business name Heritage Pharmacy Incorporated
Other name <Unavail>
Practice address 621 N. Hampton Rd, Ste. 108, Desoto, TX, 75115
Fax (469) 747-3172
Enumeration date Aug 18, 2006
Last updated in NPPES Apr 24, 2019

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 23998 (TX) Primary

Authorized official

Name Naibon Moore
Title Managing Officer

Other identifiers

Identifier Type State Issuer
145508 Medicaid TX -
2096860 Other - PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Heritage Pharmacy Incorporated?
NPPES lists Naibon Moore (Managing Officer) as the authorized official for this organization.
What is the NPI number for Heritage Pharmacy Incorporated?
The NPI for Heritage Pharmacy Incorporated is 1255445243, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-04-24.