Germaine Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24930 Issued in FL

Legal business name

GERMAINE PHARMACY INC

Practice address

2511 W Swann Ave Ste 102
Tampa, FL 33609

Phone

(813) 356-0370

Fax

(855) 736-4786

NPI assigned

Apr 23, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Scott Vincent Courtney

Title

Owner

Phone

(813) 356-0370

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Germaine Pharmacy Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515628800000",
    "number": "1376860866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 W SWANN AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-356-0370",
            "fax_number": "855-736-4786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 W SWANN AVE STE 102",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-356-0370",
            "fax_number": "855-736-4786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMAINE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2018-01-11",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-356-0370",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003462700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Germaine Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Suzanne West Gerlach, ARNP
• Peter Paul Gerley, M.D.
• David Jacob Germain, MD
• Patricia Sue Germain, OTR/L
• Sherletta Denice Germain
• Carol Germana
• Stephanie Suzette Germon, LMHC
• Jamie Gerns
• Nicole Marie Gero, M.D.
• Amie Beth Gerodimos, DO

• Community/Retail Pharmacy in Tampa, FL
• Providers in Tampa, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.