Heritage Pharmacy Incorporated
Heritage Pharmacy Incorporated is a healthcare organization registered as Community/Retail Pharmacy in Desoto, TX, holding Type 2 (organization) NPI 1255445243 since 2006. The authorized official on file is Naibon Moore, Managing Officer.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1255445243 |
|---|---|
| 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 |
| Phone | 4697473171 |
| Fax | 4697473172 |
| Enumeration date | 2006-08-18 |
| Last updated in NPPES | 2019-04-24 |
Authorized official
| Name | Naibon Moore |
|---|---|
| Title | Managing Officer |
| Phone | 3138197339 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 3336C0003X | Community/Retail Pharmacy | Primary | 23998 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145508 | Medicaid | TX | — |
| 2096860 | Other | — | PK |
Copy-ready billing details
Provider: Heritage Pharmacy Incorporated NPI: 1255445243 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 621 N. HAMPTON RD, STE. 108, Desoto, TX, 75115
Verify this record
Cross-check NPI 1255445243 against the authoritative CMS record: view Heritage Pharmacy Incorporated on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Heritage Pharmacy Incorporated?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-04-24.