Gerlands Realty Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

12510 Issued in TX

Legal business name

GERLANDS REALTY INC

Doing business as

Medicine Shoppe

Practice address

302 N Main St
Highlands, TX 77562-2842

Phone

(281) 426-3581

Fax

(281) 426-7054

NPI assigned

Feb 20, 2007

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kevin Dorris

Title

Owner

Phone

(281) 426-3581

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Medicine Shoppe Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1730224783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775622842",
            "telephone_number": "281-426-3581",
            "fax_number": "281-426-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N MAIN ST",
            "city": "HIGHLANDS",
            "state": "TX",
            "postal_code": "775622842",
            "telephone_number": "281-426-3581",
            "fax_number": "281-426-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERLANDS REALTY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "DORRIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-426-3581",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "12510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "4575998",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS CONTROL SUBSTANCE #",
            "identifier": "J0067741",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "462993",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kevin Lee Edwards, PHARMACIST
• Vivian Gilliam
• Ludwena Romona Hanagriff
• Amy K Hansen, LPC, LCDC, LCPC
• Celia Michelle Hasley, CPT, LMT
• Highlands Community Pharmacy LLC (Highlands Community Pharmacy)

• Community/Retail Pharmacy in Highlands, TX
• Providers in Highlands, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.