Active NPI
Dr G'S Pharmacy, Inc
- Community/Retail Pharmacy
- Lake Worth, FL
National Provider Identifier
1659920072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- DR G'S PHARMACY, INC
- Practice address
- 127 N Dixie Highway
Lake Worth, FL 33460 - Phone
- (561) 330-3146
- Fax
- (561) 330-3149
- NPI assigned
- 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
127 N Dixie Highway
Lake Worth, FL 33460
Mailing address
127 N Dixie Highway
Lake Worth, FL 33460
Other names 1
- Dr G's Pharmacy of Lake Worth
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.
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 |
|---|---|---|---|
| 10D2144022 | Dr G'S Urgent Care Lake Worth LLC | Certificate of waiver | Feb 8, 2028 |
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.
-
- Long Term Care Pharmacy
- Lauderdale by the Sea, FL
- NPI 1386901874
-
- Community/Retail Pharmacy
- Coral Springs, FL
- NPI 1578112991
-
- Community/Retail Pharmacy
- Delray Beach, FL
- NPI 1720338163
-
- Community/Retail Pharmacy
- Ft Lauderdale, FL
- NPI 1972639813
Locations
127 N Dixie Hwy
Lake Worth, FL 33460
Phone (561) 330-3146
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": "1659920072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 N DIXIE HIGHWAY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "127 N DIXIE HIGHWAY",
"city": "LAKE WORTH",
"state": "FL",
"postal_code": "33460",
"telephone_number": "561-330-3146",
"fax_number": "561-330-3149"
}
],
"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 Lake Worth",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lake Worth, 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.