Active NPI
Gerdes Pharmacy Inc
- Durable Medical Equipment & Medical Supplies
- Conneaut, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- GERDES PHARMACY INC
- Practice address
- 245 Main St
Conneaut, OH 44030-2653 - Phone
- (440) 593-2578
- NPI assigned
- Apr 23, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry W Gerdes
- Title
- Pres
- Phone
- (440) 593-2578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | OH | Primary |
Addresses
Primary practice location
245 Main St
Conneaut, OH 44030-2653
Mailing address
245 Main St
Conneaut, OH 44030-2653
Phone (440) 593-2578
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023834 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Gerdes Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Conneaut, OH
- NPI 1245080779
-
- Community/Retail Pharmacy
- Conneaut, OH
- NPI 1265525810
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- Conneaut, OH
- NPI 1770709313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093933301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 MAIN ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302653",
"telephone_number": "440-593-2578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 MAIN ST",
"city": "CONNEAUT",
"state": "OH",
"postal_code": "440302653",
"telephone_number": "440-593-2578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GERDES PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GERDES",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PRES",
"authorized_official_telephone_number": "440-593-2578"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023834",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conneaut, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.