Gordon Drug Company Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GORDON DRUG COMPANY INC.

Practice address

7255 Oak Ridge Hwy
Knoxville, TN 37931-2614

Phone

(865) 691-8822

Fax

(865) 691-7653

NPI assigned

Oct 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jerry Michael Gordon, DPH

Title

Pharmacist/Owner

Phone

(865) 691-8822

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Gordon Drug Company Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Total Health

  • Pharmacist
  • Knoxville, TN
  • NPI 1104900612
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Gordon, PHARMD

  • Pharmacist
  • Knoxville, TN
  • NPI 1588474811
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1053405092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312614",
            "telephone_number": "865-691-8822",
            "fax_number": "865-691-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 OAK RIDGE HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379312614",
            "telephone_number": "865-691-8822",
            "fax_number": "865-691-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON DRUG COMPANY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "865-691-8822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1454330",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elliott Goodwin, DO
• John R Goodwin, M.D.
• Rachel Pardue Goodwin, DO
• Joseph Morris Googe Jr., M.D.
• Paul B Googe, MD
• Abigail M'Lynn Gordon, DNP, CPNP
• Deandra Gordon
• Deborah Gordon, RN
• Dezmere Maria Gordon
• John Gordon, M.D.

• Durable Medical Equipment & Medical Supplies in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.