Organization Active NPI

Dr G's Pharmacy, Inc

Doing business as Dr G's Pharmacy of Coral Springs

  • Community/Retail Pharmacy
  • Coral Springs, FL
National Provider Identifier
1578112991
Registry record updated Sep 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DR G'S PHARMACY, INC
Doing business as
Dr G's Pharmacy of Coral Springs
Practice address
2224 N. University Drive
Coral Springs, FL 33071
Phone
(954) 938-0005
Fax
(954) 938-3669
NPI assigned
Sep 9, 2019
Last updated
Sep 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2019

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

Authorized official

Name
Dr. Geneen Graber Maxwell, PHARMD
Title
President
Phone
(954) 592-4653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2224 N. University Drive
Coral Springs, FL 33071

Mailing address

2224 N. University Drive
Coral Springs, FL 33071
Phone (954) 938-0005

Other names 1

  • Dr G's Pharmacy of Coral Springs Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210825003651 FL Part B Supplier - Pharmacy 4385049527 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Coral Springs, FL; Delray Beach, FL; Ft Lauderdale, FL; Lake Worth, FL

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2161062Dr G's Urgent Care Coral Springs2224 N University Dr, Coral Springs, FL 33071Certificate of waiverJan 24, 2027

National Provider Directory

National Provider Directory
Tax ID family
Dr G's Pharmacy Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

5975 N Federal Hwy
Ste 108
Ft Lauderdale, FL 33308
Phone (954) 938-0005

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": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567987200000",
    "number": "1578112991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 N. UNIVERSITY DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-938-0005",
            "fax_number": "954-938-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2224 N. UNIVERSITY DRIVE",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33071",
            "telephone_number": "954-938-0005",
            "fax_number": "954-938-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR G'S PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2019-09-09",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "GENEEN",
        "authorized_official_middle_name": "GRABER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-592-4653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr G's Pharmacy of Coral Springs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.