George Sakellarios Mavros

Primary specialty

PharmacistTaxonomy code 183500000X

License

26016965A Issued in IN

Practice address

6905 Kennedy Ave
Hammond, IN 46323-2210

Phone

(219) 844-5034

NPI assigned

Jul 2, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Walgreen Co

  • Pharmacy
  • Hammond, IN
  • NPI 1396750410
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1356968523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17556 MAPLEWOOD DR",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463569371",
            "telephone_number": "219-791-2082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6905 KENNEDY AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463232210",
            "telephone_number": "219-844-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAVROS",
        "first_name": "GEORGE",
        "middle_name": "SAKELLARIOS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26016965A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Marie Matheny, MSN FNP-C
• Mathur and Associates, P.C.
• James Mathur, MD
• Vishnu N Mathur, MD
• Matthew B. Logmann DDS, PC
• Nicholas Edward Mazur, D.O.
• Tanika McBee
• Jason McBurnie, OD
• Philip William McGuire, MD
• Christopher John McIntire, DO

• Pharmacist in Hammond, IN
• Providers in Hammond, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.