Gatesville Drug Company, LTD

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

GATESVILLE DRUG COMPANY, LTD

Practice address

2513 S. State Highway 36
Gatesville, TX 76528-2519

Phone

(254) 865-2417

Fax

(254) 865-4024

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Kevin Wayne George, PHARM DNPI 1124398540

Title

Owner/Pharmacist in Charge

Phone

(254) 865-2417

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Gatesville Drug Co Ltd Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin Wayne George, PHARM D

  • Pharmacist
  • Gatesville, TX
  • NPI 1124398540
  NPD Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1205948114",
    "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": {
        "organization_name": "GATESVILLE DRUG COMPANY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER/PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "254-865-2417",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "20099",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144947",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149115",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4503389",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gatesville Drug Co Ltd",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gatesville Drug Co Ltd",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lance A. Ellis, DO
• Allyson Ann Epps
• Stonie Colt Ferrell
• Kyle Floyd, RN
• Gatesville Dental PLLC
• Gatesville Eye Care
• Gatesville Family Dental, ,P.C.
• Kevin Wayne George, PHARM D
• Mark H Gibby, M.D.
• Katherine Margaret Grant, COTA

• Pharmacy in Gatesville, TX
• Providers in Gatesville, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.