NPIMap

Organization Active NPI

Gayco, Inc.

  • Specialty Pharmacy
  • Dublin, GA
National Provider Identifier
1114021318
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Specialty PharmacyTaxonomy code 3336S0011X
License
PHRE006970 Issued in GA
Legal business name
GAYCO, INC.
Practice address
507 Industrial Blvd
Dublin, GA 31021-1714
Phone
(478) 272-8093
Fax
(478) 275-7882
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Jerry Bent Gay Jr.
Title
Manager
Phone
(478) 272-8093

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X PHRE006970 GA
Customized Equipment (DME) 332BC3200X PHRE006970 GA
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X PHRE006970 GA
Oxygen Equipment & Supplies (DME) 332BX2000X PHRE006970 GA
Home Infusion Therapy Pharmacy 3336H0001X PHRE006970 GA
Specialty Pharmacy 3336S0011X PHRE006970 GA Primary

Addresses

Primary practice location

507 Industrial Blvd
Dublin, GA 31021-1714

Mailing address

507 Industrial Blvd
Dublin, GA 31021-1714
Phone (478) 272-8093

Other identifiers 2

IdentifierTypeStateIssuer
00545993BMedicaidGA
00545993AMedicaidGA

Other names 1

  • GAYCO HEALTHCARE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1114021318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310211714",
            "telephone_number": "478-272-8093",
            "fax_number": "478-275-7882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 INDUSTRIAL BLVD",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310211714",
            "telephone_number": "478-272-8093",
            "fax_number": "478-275-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAYCO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "BENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "478-272-8093",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE006970",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "GA",
            "license": "PHRE006970",
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "PHRE006970",
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "GA",
            "license": "PHRE006970",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "GA",
            "license": "PHRE006970",
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "GA",
            "license": "PHRE006970",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00545993B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00545993A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAYCO HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "GAYCO HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dublin, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; 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.