Organization Active NPI

Dr G'S Pharmacy, Inc

  • Community/Retail Pharmacy
  • Lake Worth, FL
National Provider Identifier
1659920072
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
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

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

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 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
10D2144022Dr G'S Urgent Care Lake Worth LLC127 N Dixie Hwy, Lake Worth, FL 33460Certificate of waiverFeb 8, 2028

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

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.

Verify at the official NPI Registry.