NPIMap

Organization Active NPI

Gerdes Pharmacy Inc

  • Long Term Care Pharmacy
  • Conneaut, OH
National Provider Identifier
1245080779
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
GERDES PHARMACY INC
Practice address
245 Main St
Conneaut, OH 44030-2653
Phone
(440) 593-2578
Fax
(440) 593-6049
NPI assigned
Mar 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Authorized official

Name
Kerry W Gerdes, RPH
Title
Owner
Phone
(440) 593-2578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 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 names 1

  • Gerdes Pharmacy Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gerdes Pharmacy Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1245080779",
    "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",
            "fax_number": "440-593-6049"
        },
        {
            "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",
            "fax_number": "440-593-6049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERDES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GERDES",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-593-2578",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gerdes Pharmacy Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 26, 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.