Gerdes Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

020487700 Issued in OH

Legal business name

GERDES PHARMACY INC

Practice address

245 Main St
Conneaut, OH 44030-2653

Phone

(440) 593-2578

NPI assigned

Oct 2, 2006

Last updated

Jun 4, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kerry W Gerdes, RPHNPI 1770709313

Title

Owner

Phone

(440) 593-2578

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH3 enrollments

Enrollment records 3

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.

• Gerdes Pharmacy Inc

  • Durable Medical Equipment & Medical Supplies
  • Conneaut, OH
  • NPI 1093933301
  NPD tax ID
• Gerdes Pharmacy Inc

  • Long Term Care Pharmacy
  • Conneaut, OH
  • NPI 1245080779
  NPD tax ID

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.

• Kerry W Gerdes, RPH

  • Pharmacist
  • Conneaut, OH
  • NPI 1770709313
  Authorized official Same address or phone

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1265525810",
    "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": "2006-10-02",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020487700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0023834",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER NUMBER",
            "identifier": "3604584",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Gagich, PHARMD
• Gary R. Huston D.O., Inc
• Christine Gaskell
• Gerdes Pharmacy Inc
• Gerdes Pharmacy Inc
• Kerry W Gerdes, RPH
• Scott William Gerdes, PHARMD
• Coletta Sue Germek, DPT
• Tammy Lee Glover
• Michelle Lynn Gray, CMA

• Community/Retail Pharmacy in Conneaut, OH
• Providers in Conneaut, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.