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GERITOM MED INC
NPI 1285621193
Pharmacy - Long Term Care Pharmacy in Bloomington, MN

Active since October 05, 2005CLIA 24D2184031 · Waiver
10501 FLORIDA AVE S, BLOOMINGTON, MN 55438(952) 854-1190(952) 854-1082 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2020, Feb 20, 2017 (2 updates tracked since 2017).

About Geritom Med Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GERITOM MED INC (NPI 1285621193) is a healthcare organization registered as a long term care pharmacy in Bloomington, Minnesota and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 13, 2028 and lists Jason Ryan Wachtl, Vice President, as its authorized official.

NPPES Registry Identity

NPI1285621193
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGERITOM MED INC
Location Address10501 FLORIDA AVE SBloomington, MN 55438-2553
Mailing Address10501 Florida Ave SBloomington, MN 55438-2553 · (952) 854-1190 · Fax (952) 854-1082
Phone(952) 854-1190
Fax(952) 854-1082
Organization SubpartNo
Authorized OfficialJason Ryan WachtlVice President · (952) 854-1190
Enumeration DateOctober 5, 2005
Last NPPES UpdateSeptember 16, 20202 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2020
✔ NPI 1285621193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in MN · 261375
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
10501 FLORIDA AVE S, Bloomington, MN 55438
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Other Names 1

Doing Business AsGeritom Med Inc

Other Identifiers 2

Medicaid718560000MN
Other2046914Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2184031

Geritom Med, Inc · Bloomington, MN
Active · expires May 13, 2028
CLIA Number24D2184031
Laboratory TypePharmacy
Certificate Effective DateMay 14, 2026
Certificate Expiration DateMay 13, 2028
Laboratory DirectorJason R. Wachtl
Laboratory Phone(952) 854-1190
Laboratory LocationGeritom Med, Inc10501 Florida Ave S, Bloomington, MN 55438
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 8

Medicare supplier enrollment and the product categories Geritom Medical Inc carries, from the Medicare DMEPOS supplier directory.

Geritom Medical Inc

DMEPOS supplier · Bloomington, MNOperated by Geritom Med Inc
⋮

Does not accept Medicare assignment

Geritom Medical Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20517191
Medicare Participant SinceJanuary 1, 2013
Supplier Location10501 Florida Ave SBloomington, MN 55438
Phone(952) 854-1190
Supplier Specialties
Medical Supply Company Other Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Ostomy Supplies
Pouches, Paste, Powder, Barrier wipes
Tracheotomy Supplies
Tracheostomy care kits
Urological Supplies
Catheters, Urinary collection devices
Enteral Nutrients
Enteral formula
Enteral Equipment and/or Supplies
Enteral infusion pumps, enteral nutrition supply kits
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JACQUELINE LARSON
Pharmacist
10501 FLORIDA AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 854-1190
CLARICE OLSON
Pharmacist
10501 FLORIDA AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 854-1190
DREW PASZOTTA PHARMD
Pharmacist
10501 FLORIDA AVE S
MINNEAPOLIS, MN 55438
Hennepin County (952) 854-1190
LUEXA YANG PHARMD
Pharmacist
10501 FLORIDA AVE S
MINNEAPOLIS, MN 55438
Hennepin County (952) 854-1190
LUSI ZHANG
Pharmacist
10501 FLORIDA AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 854-1082
DR. SEAN ANSOLABEHERE PHARMD
Pharmacist
10501 FLORIDA AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 854-1190
MR. JON EVENSON RPH
Pharmacist
10501 FLORIDA AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 854-1082
DR. JASON RYAN WACHTL PHARM.D., BCACP, CGP
Pharmacist
10501 FLORIDA AVE S
BLOOMINGTON, MN 55438
Hennepin County (952) 854-1190

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Geritom Med Inc's NPI number?

The NPI number for Geritom Med Inc is 1285621193. It was assigned to this organization in the NPPES registry on October 5, 2005.

Where is Geritom Med Inc located?

Geritom Med Inc is located at 10501 Florida Ave S, Bloomington, MN 55438. The listed phone number is (952) 854-1190.

What is Geritom Med Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Geritom Med Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Geritom Medical Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Geritom Med Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2184031) is associated with this NPI, valid through May 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Geritom Med Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Geritom Med Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Geritom Med Inc was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.