NPIMap

Organization Active NPI

George'S Family Pharmacy, Inc.

  • Long Term Care Pharmacy
  • Connersville, IN
National Provider Identifier
1033938121
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GEORGE'S FAMILY PHARMACY, INC.
Practice address
330 E 5TH St
Connersville, IN 47331-2604
Phone
(765) 825-6251
NPI assigned
Oct 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Blake Gillman
Title
Owner/Ceo
Phone
(765) 647-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

330 E 5TH St
Connersville, IN 47331-2604

Mailing address

330 E 5TH St
Connersville, IN 47331-2604
Phone (765) 825-6251

Other identifiers 1

IdentifierTypeStateIssuer
300027007MedicaidIN

National Provider Directory

National Provider Directory
Tax ID family
Georges Family Pharmacy Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1033938121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 5TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312604",
            "telephone_number": "765-825-6251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 5TH ST",
            "city": "CONNERSVILLE",
            "state": "IN",
            "postal_code": "473312604",
            "telephone_number": "765-825-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE'S FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-07",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "765-647-6251"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300027007",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Connersville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.