OrganizationActive
Jan Douglass
NPI 1174659585 · Community/Retail Pharmacy · Georgetown, TX
Jan Douglass is a Community/Retail Pharmacy organization in Georgetown, TX (NPI 1174659585).
Provider details
- NPI number
- 1174659585
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Dena Ferman, Third Party Plan Coordinator(314) 993-6000
- License
- 20963 (TX)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
505 W University Ave
Suite H
Georgetown, TX 78626-6643
Phone: (512) 863-2297
Fax: (512) 863-2975
Street-level locationGet directions
Mailing address
505 W University Ave
Georgetown, TX 78626-6643
Other names (DBA / former)
- Doing business as
- Medicine Shoppe
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2023-03-07
Frequently asked questions
- What is Jan Douglass's NPI number?
- Jan Douglass's National Provider Identifier (NPI) is 1174659585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jan Douglass?
- Jan Douglass is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Jan Douglass located?
- Jan Douglass's practice location on file with NPPES is 505 W University Ave, Georgetown, TX 78626-6643.
- What is Jan Douglass's phone number?
- The practice phone number listed in the NPPES registry for Jan Douglass is (512) 863-2297.
- Who is the authorized official for Jan Douglass?
- The authorized official listed on Jan Douglass's NPPES record is Dena Ferman, Third Party Plan Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jan Douglass's NPI active?
- Yes — Jan Douglass's NPI (1174659585) is active in the NPPES registry as of the last update on 2023-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.