Georgetown Health Care Center, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-10027 Issued in KS

Legal business name

GEORGETOWN HEALTH CARE CENTER, INC.

Doing business as

Georgetown Pharmacy

Practice address

5605 Merriam Dr
Merriam, KS 66203-2521

Phone

(913) 362-0313

Fax

(913) 722-1600

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Dennis Wall Hendershot, R.PH.

Title

President

Phone

(913) 362-0313

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Georgetown Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1194822379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5605 MERRIAM DR",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662032521",
            "telephone_number": "913-362-0313",
            "fax_number": "913-722-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 MERRIAM DR",
            "city": "MERRIAM",
            "state": "KS",
            "postal_code": "662032521",
            "telephone_number": "913-362-0313",
            "fax_number": "913-722-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN HEALTH CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSHOT",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "WALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-362-0313",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "2-10027",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "KS",
            "license": "2-10027",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "KS",
            "license": "2-10027",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "2-10027",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "KS",
            "license": "2-10027",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "KS",
            "license": "2-10027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100436590A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1700978",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgetown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna Gaston, LBA
• Robin Lynn Gatchalian, OTRL
• Nicholas Orion Gatz, M.D.
• Rakesh Gaur, MD, MPH, FACP
• Veronica M Gavula, PA-C
• Lisa Michelle Geraghty, LPC
• Rachel Gerber
• Ruth Ann Getter, COTA
• Anne Marie Gibbins-Ross
• Melissa Gilbert

• Community/Retail Pharmacy in Merriam, KS
• Providers in Merriam, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.