George'S Family Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Versailles, IN
NPI 1487944294 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1487944294
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 60006249A (IN)
- Legal business name
- 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
- Organization subpart
- No
Authorized official
- Name
- Blake Gillman
- Title
- Owner/Ceo
- Phone
- (765) 265-4699
Other NPIs on the same Medicare enrollment 6
Other NPIs with the same Medicare PAC ID 6
Corporate family (same tax ID) 12
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 - Pharmacy |
4981784667 | Practice locations: Versailles, IN |
National Provider Directory
- Tax ID family
- Georges Family Pharmacy Inc
Locations
1198 State Road 46 E
Batesville, IN 47006
Phone (812) 932-6251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 60006249A | IN | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1563306 | Other | NCPDP PROVIDER IDENTIFICATION NUMBER | |
| 300079697 | Medicaid | IN |
Other names
- George's Family Pharmacy, Inc.
Other providers in Versailles, IN
- Angeline Denney
- DRS Johnson Terry & Associates
- Meredith Gehl
- Fairy Geiling
- George'S Family Pharmacy, Inc.
- Helton Eye Care LLC
- Helton Eye Care LLC
- Anna Helton
- Hook-Superx LLC
- Integrity Chiropractic Associates LLC
All providers in Versailles, IN · Community/Retail Pharmacy in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.