GMG Medical Supply LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

24948 Issued in TX

Legal business name

GMG MEDICAL SUPPLY LTD

Doing business as

UNIVERSITY PHARMACY INC

Practice address

4850 E University Blvd
Odessa, TX 79762-8106

Phone

(432) 366-8821

Fax

(432) 367-4567

NPI assigned

Jul 22, 2006

Organization subpart

No

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

Authorized official

Name

Grayson Hankins

Title

President

Phone

(432) 366-8821

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• UNIVERSITY PHARMACY INC Doing business as

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1104847177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4850 E UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628106",
            "telephone_number": "432-366-8821",
            "fax_number": "432-367-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4850 E UNIVERSITY BLVD",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797628106",
            "telephone_number": "432-366-8821",
            "fax_number": "432-367-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GMG MEDICAL SUPPLY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "HANKINS",
        "authorized_official_first_name": "GRAYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "432-366-8821"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "24948",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2101779",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNIVERSITY PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Gilpin, MSN, APRN- FNP-C
• Santiago Giraldo, M.D
• Natausha Glidwell
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• Glori E. Ferguson
• James B Goates, DDS
• Mica Leigh Gober, CCC-SLP
• Sreedevi Godey, M.D.
• Golder Professional Pharmacy Inc
• Shari Golenski

• Community/Retail Pharmacy in Odessa, TX
• Providers in Odessa, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.