Active NPI
Dr G's Pharmacy, Inc
Doing business as Dr G's Pharmacy of Coral Springs
- Community/Retail Pharmacy
- Coral Springs, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
dba Dr G's Pharmacy of Lake Worth
- Community/Retail Pharmacy
- Lake Worth, FL
- NPI 1659920072
O20210825003651
-
dba Dr G's Pharmacy of Delray
- Community/Retail Pharmacy
- Delray Beach, FL
- NPI 1720338163
O20210825003651
-
dba Dr G's Pharmacy By The Sea
- Community/Retail Pharmacy
- Fort Lauderdale, FL
- NPI 1972639813
O20210825003651
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2161062 | Dr G's Urgent Care Coral Springs | Certificate of waiver | Jan 24, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Dr G's Pharmacy Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Dr G's Pharmacy by the sea
- Long Term Care Pharmacy
- Lauderdale by the Sea, FL
- NPI 1386901874
-
dba Dr G's Pharmacy of Lake Worth
- Community/Retail Pharmacy
- Lake Worth, FL
- NPI 1659920072
-
dba Dr G's Pharmacy of Delray
- Community/Retail Pharmacy
- Delray Beach, FL
- NPI 1720338163
-
dba Dr G's Pharmacy By The Sea
- Community/Retail Pharmacy
- Fort Lauderdale, FL
- NPI 1972639813
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.
-
- Physician Assistant
- Delray Beach, FL
- NPI 1265138598
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"
}
]
}
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- Dr. Besty Jacob OD PA
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.