NPI age
17 years
Enumerated 2009-03-20
● Active Type 2 · Organization
Lscc Georgetown Pharmacy- Williams Drive
Lscc Georgetown Pharmacy- Williams Drive is 1 of 5625 pharmacy organizations in Texas.
Primary specialty
Pharmacy
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Calvin
Ceo
Last NPPES update
2025-04-30
Source: monthly bulk 2026-05
How this organization compares
Across 5625 active pharmacy providers in Texas.
NPI age
17 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 62% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-03Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
2423 Williams Dr, Suite 109
Georgetown, TX 786283200
Mailing address
2423 Williams Dr Ste 107
Georgetown, TX 786283269
Authorized official
Jonathan David Calvin
Ceo
📞 8778005722
Individual providers at this organization
12 individual providers on file at this primary practice address.
- Catherine Carrizales-Pintor, FNP Nurse Practitioner NPI 1891799599
- Yvonne Essandoh, D.O. Pediatrics NPI 1598911596
- Benjamin Fiedler, M.D. Family Medicine NPI 1811947948
- Nudrat Khatri, M.D. Family Medicine NPI 1871881227
- Sue Moss, M.D. Psychiatry & Neurology NPI 1013018597
- Kelsey Novelli, LCSW Social Worker NPI 1093114456
- Gail Overton, MS, LN Nutritionist NPI 1225320997
- Monique Pepin, MSW, LCSW Social Worker NPI 1518213925
- Alan Rivas, LCSW Social Worker NPI 1104985522
- Kay Terrell, LPC Counselor NPI 1407181670
- Kamini Verma, LCSW Social Worker NPI 1578019022
- Ashton Wickramasinghe, MD Internal Medicine NPI 1295927580
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 2119479 | PK |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LSCC Georgetown Pharmacy- Williams Drive
Practice context
Multi-provider organization. 12 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.