Geritom Med Inc
Geritom Med Inc is a healthcare organization registered as Long Term Care Pharmacy in Bloomington, MN, holding Type 2 (organization) NPI 1285621193 since 2005. The authorized official on file is Jason Wachtl, Vice President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1285621193 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Geritom Med Inc |
| Other name | <Unavail> |
| Practice address | 10501 FLORIDA AVE S, Bloomington, MN, 55438 |
| Phone | 9528541190 |
| Fax | 9528541082 |
| Enumeration date | 2005-10-05 |
| Last updated in NPPES | 2020-09-16 |
Authorized official
| Name | Jason Wachtl |
|---|---|
| Title | Vice President |
| Phone | 9528541190 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336L0003X | Long Term Care Pharmacy | Primary | 261375 | MN |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 718560000 | Medicaid | MN | — |
| 2046914 | Other | — | PK |
Copy-ready billing details
Provider: Geritom Med Inc NPI: 1285621193 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 10501 FLORIDA AVE S, Bloomington, MN, 55438
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558507558 | Jason Wachtl | Individual | Pharmacist | Bloomington, MN |
| 1073993622 | Jacqueline Larson | Individual | Pharmacist | Bloomington, MN |
| 1467991422 | Jon Evenson | Individual | Pharmacist | Bloomington, MN |
| 1962941906 | John Stites | Individual | Pharmacist | Bloomington, MN |
| 1689113623 | Laura Mahlendorf | Individual | Pharmacist | Bloomington, MN |
| 1144769118 | Clarice Olson | Individual | Pharmacist | Bloomington, MN |
| 1205346905 | Luexa Yang | Individual | Pharmacist | Minneapolis, MN |
| 1912675745 | Laurie Grund | Individual | Ambulatory Care Pharmacist | Bloomington, MN |
Verify this record
Cross-check NPI 1285621193 against the authoritative CMS record: view Geritom Med Inc 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
What type of organization is Geritom Med Inc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-09-16.