NPIMap

Organization Active NPI

Georges Family Pharmacy Inc

  • Community/Retail Pharmacy
  • Batesville, IN
National Provider Identifier
1801289673
Registry record updated May 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60006447A Issued in IN
Legal business name
GEORGES FAMILY PHARMACY INC
Practice address
1198 State Road 46 E
Batesville, IN 47006-9232
Phone
(812) 932-6251
Fax
(812) 932-6386
NPI assigned
Mar 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2015

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

Authorized official

Name
Blake Gillman
Title
Owner/Ceo
Phone
(765) 647-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 60006447A IN Primary

Addresses

Primary practice location

1198 State Road 46 E
Batesville, IN 47006-9232

Mailing address

1198 State Road 46 E
Batesville, IN 47006-9232
Phone (765) 647-6251

Other identifiers 1

IdentifierTypeStateIssuer
2150826OtherPK

Other names 1

  • George's Family Pharmacy, Inc. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20080321000158 IN Part B Supplier - Mass Immunization (Roster Biller Only) 4981784667 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Batesville, IN; Brookville, IN
O20150813009879 IN DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 4981784667 Practice locations: Batesville, IN

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

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

National Provider Directory

National Provider Directory
Tax ID family
Georges Family Pharmacy Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1801289673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 STATE ROAD 46 E",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470069232",
            "telephone_number": "765-647-6251",
            "fax_number": "765-647-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 STATE ROAD 46 E",
            "city": "BATESVILLE",
            "state": "IN",
            "postal_code": "470069232",
            "telephone_number": "812-932-6251",
            "fax_number": "812-932-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGES FAMILY PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "765-647-6251"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60006447A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2150826",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "George's Family Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Batesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.