NPIMap

Organization Active NPI

George's Family Pharmacy, Inc.

  • Community/Retail Pharmacy
  • Versailles, IN
National Provider Identifier
1487944294
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006249A Issued in IN
Legal business name
GEORGE'S FAMILY PHARMACY, INC.
Doing business as
George's Family Pharmacy, Inc.
Practice address
326 S. Washington St. Suite 22
Versailles, IN 47042
Phone
(812) 689-0200
Fax
(812) 689-0201
NPI assigned
Apr 13, 2011
Last updated
Aug 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Authorized official

Name
Blake Gillman
Title
Owner/Ceo
Phone
(765) 265-4699

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 60006249A IN Primary

Addresses

Primary practice location

326 S. Washington St. Suite 22
Versailles, IN 47042

Mailing address

326 S. Washington St. Suite 22
Versailles, IN 47042
Phone (812) 689-0200

Other names 1

  • George's Family Pharmacy, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080321000158 IN Part B Supplier - Mass Immunization (Roster Biller Only) 4981784667 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Batesville, IN; Brookville, IN
O20130516000255 IN DME Supplier - PharmacyDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company 4981784667 Practice locations: Versailles, IN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Georges Family Pharmacy Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1302652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692576000000",
    "number": "1487944294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 S. WASHINGTON ST. SUITE 22",
            "city": "VERSAILLES",
            "state": "IN",
            "postal_code": "47042",
            "telephone_number": "812-689-0200",
            "fax_number": "812-689-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 S. WASHINGTON ST. SUITE 22",
            "city": "VERSAILLES",
            "state": "IN",
            "postal_code": "47042",
            "telephone_number": "812-689-0200",
            "fax_number": "812-689-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE'S FAMILY PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-13",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "765-265-4699"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006249A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George's Family Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "George's Family Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Versailles, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.