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Lscc Georgetown Pharmacy- Williams Drive

Lscc Georgetown Pharmacy- Williams Drive is a healthcare organization registered as Community/Retail Pharmacy in Georgetown, TX, holding Type 2 (organization) NPI 1093956062 since 2009. The authorized official on file is Jonathan Calvin, Ceo.

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NPI 1093956062
Entity type Organization (Type 2)
Legal business name Lscc Georgetown Pharmacy- Williams Drive
Other name <Unavail>
Practice address 2423 WILLIAMS DR, SUITE 109, Georgetown, TX, 78628
Phone 5126860155
Fax 5128698482
Enumeration date 2009-03-20
Last updated in NPPES 2025-04-30

Authorized official

Name Jonathan Calvin
Title Ceo
Phone 8778005722

Taxonomy & classification

Taxonomy code Specialty Primary License State
333600000X Pharmacy Secondary
3336C0003X Community/Retail Pharmacy Primary 26364 TX

Other identifiers

Identifier Type State Issuer
2119479 Other PK
Copy-ready billing details
Provider: Lscc Georgetown Pharmacy- Williams Drive
NPI: 1093956062
Taxonomy: 3336C0003X (Community/Retail Pharmacy)
Address: 2423 WILLIAMS DR, SUITE 109, Georgetown, TX, 78628

Providers at this address

NPI Name Type Specialty Location
1891799599 Catherine Carrizales-Pintor Individual Family Nurse Practitioner Georgetown, TX
1811947948 Benjamin Fiedler Individual Family Medicine Physician Georgetown, TX
1891746970 Lone Star Circle of Care Organization Federally Qualified Health Center (FQHC) Georgetown, TX
1013018597 Sue Moss Individual Psychiatry Physician Georgetown, TX
1104985522 Alan Rivas Individual Clinical Social Worker Georgetown, TX
1295927580 Ashton Wickramasinghe Individual Internal Medicine Physician Georgetown, TX
1598911596 Yvonne Essandoh Individual Pediatrics Physician Georgetown, TX
1437390705 Lone Star Circle of Care Organization Federally Qualified Health Center (FQHC) Georgetown, TX

Verify this record

Cross-check NPI 1093956062 against the authoritative CMS record: view Lscc Georgetown Pharmacy- Williams Drive on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Lscc Georgetown Pharmacy- Williams Drive located?
The practice location on file with NPPES is in Georgetown, TX.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-04-30. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-04-30.