Individual provider Active NPI

Kevin Wayne George, PHARM D

  • Pharmacist
  • Gatesville, TX
National Provider Identifier
1124398540
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
34773 Issued in TX
Practice address
2513 S State Highway 36
Gatesville, TX 76528-2519
Phone
(254) 865-2417
Fax
(254) 865-4024
NPI assigned
Jan 2, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 34773 TX Primary

Addresses

Primary practice location

2513 S State Highway 36
Gatesville, TX 76528-2519

Mailing address

2513 S State Highway 36
Gatesville, TX 76528-2519
Phone (254) 865-2417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
34773TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gatesville Drug Company, LTD CurrentSince Mar 9, 2020 Accepting new patients
Lampasas Drug Company LTD Current Accepting new patients

Locations

2513 S State Highway 36
Gatesville, TX 76528
Phone (254) 865-2417

2401 S State Highway 36
Ste 100
Gatesville, TX 76528

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1124398540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 S STATE HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282519",
            "telephone_number": "254-865-2417",
            "fax_number": "254-865-4024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2513 S STATE HIGHWAY 36",
            "city": "GATESVILLE",
            "state": "TX",
            "postal_code": "765282519",
            "telephone_number": "254-865-2417",
            "fax_number": "254-865-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "KEVIN",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-02",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "34773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gatesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.