Hendrix Pharmacy Inc
NPI 1790076610 · Community/Retail Pharmacy · Philadelphia, PA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hendrix Pharmacy Inc is a Community/Retail Pharmacy organization in Philadelphia, PA (NPI 1790076610).
Provider details
- NPI number
- 1790076610
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Gary Kogan, Pharmacist(215) 969-3900
- License
- PP482053 (PA)
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
Mailing address
Other names (DBA / former)
- Doing business as
- Hendrix Pharmacy
Registry dates
- Enumerated
- 2011-04-26
- Last updated
- 2016-11-29
Frequently asked questions
- What is Hendrix Pharmacy Inc's NPI number?
- Hendrix Pharmacy Inc's National Provider Identifier (NPI) is 1790076610, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Hendrix Pharmacy Inc?
- Hendrix Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Hendrix Pharmacy Inc located?
- Hendrix Pharmacy Inc's practice location on file with NPPES is 11685 Bustleton Ave, Philadelphia, PA 19116-2542.
- What is Hendrix Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Hendrix Pharmacy Inc is (215) 969-3900.
- Does Hendrix Pharmacy Inc accept Medicare?
- Hendrix Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Hendrix Pharmacy Inc?
- The authorized official listed on Hendrix Pharmacy Inc's NPPES record is Gary Kogan, Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Hendrix Pharmacy Inc's NPI active?
- Yes — Hendrix Pharmacy Inc's NPI (1790076610) is active in the NPPES registry as of the last update on 2016-11-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.