OrganizationActive
Heritage Pharmacy Incorporated
NPI 1255445243 · Community/Retail Pharmacy · Desoto, TX
Heritage Pharmacy Incorporated is a Community/Retail Pharmacy organization in Desoto, TX (NPI 1255445243).
Provider details
- NPI number
- 1255445243
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Naibon Moore, Managing Officer(313) 819-7339
- License
- 23998 (TX)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
621 N. Hampton Rd
Ste. 108
Desoto, TX 75115
Phone: (469) 747-3171
Fax: (469) 747-3172
Street-level locationGet directions
Mailing address
621 N. Hampton Rd
Desoto, TX 75115
Other names (DBA / former)
- Doing business as
- Heritage Pharmacy
- Doing business as
- Heritage Pharmacy
Registry dates
- Enumerated
- 2006-08-18
- Last updated
- 2019-04-24
Frequently asked questions
- What is Heritage Pharmacy Incorporated's NPI number?
- Heritage Pharmacy Incorporated's National Provider Identifier (NPI) is 1255445243, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heritage Pharmacy Incorporated?
- Heritage Pharmacy Incorporated is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Heritage Pharmacy Incorporated located?
- Heritage Pharmacy Incorporated's practice location on file with NPPES is 621 N. Hampton Rd, Desoto, TX 75115.
- What is Heritage Pharmacy Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Heritage Pharmacy Incorporated is (469) 747-3171.
- Who is the authorized official for Heritage Pharmacy Incorporated?
- The authorized official listed on Heritage Pharmacy Incorporated's NPPES record is Naibon Moore, Managing Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heritage Pharmacy Incorporated's NPI active?
- Yes — Heritage Pharmacy Incorporated's NPI (1255445243) is active in the NPPES registry as of the last update on 2019-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.