Jan Douglass
Jan Douglass is a healthcare organization registered as Community/Retail Pharmacy in Georgetown, TX, holding Type 2 (organization) NPI 1174659585 since 2007. The authorized official on file is Dena Ferman, Third Party Plan Coordinator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1174659585 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jan Douglass |
| Other name | <Unavail> |
| Practice address | 505 W UNIVERSITY AVE, SUITE H, Georgetown, TX, 78626 |
| Phone | 5128632297 |
| Fax | 5128632975 |
| Enumeration date | 2007-02-27 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Dena Ferman |
|---|---|
| Title | Third Party Plan Coordinator |
| Phone | 3149936000 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | 20963 | TX |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142947 | Medicaid | TX | — |
| 4572283 | Other | — | OTHER ID NUMBER-COMMERCIAL NUMBER |
Copy-ready billing details
Provider: Jan Douglass NPI: 1174659585 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 505 W UNIVERSITY AVE, SUITE H, Georgetown, TX, 78626
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1154930683 | Brenna Baxter | Individual | Counselor | Georgetown, TX |
| 1841960804 | Brian Foster | Individual | Social Worker | Georgetown, TX |
Verify this record
Cross-check NPI 1174659585 against the authoritative CMS record: view Jan Douglass 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
Who is the authorized official for Jan Douglass?
What is the NPI number for Jan Douglass?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.