G Med II LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

G MED II LLC

Doing business as

North Gulfport Discount Drugs

Practice address

4723 Tennessee Ave
Gulfport, MS 39501-8130

Phone

(228) 265-5193

Fax

(228) 265-5197

NPI assigned

Sep 20, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Katherine Summer Gallotte

Title

President

Phone

(228) 265-5193

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• North Gulfport Discount Drugs Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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

{
    "created_epoch": "1474329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1124576079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20117 BOX CV",
            "city": "SAUCIER",
            "state": "MS",
            "postal_code": "395748702",
            "telephone_number": "228-234-6236",
            "fax_number": "228-265-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 TENNESSEE AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395018130",
            "telephone_number": "228-265-5193",
            "fax_number": "228-265-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G MED II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-20",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "GALLOTTE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "SUMMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-265-5193",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "14259/1.1",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2164275",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Gulfport Discount Drugs",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jay Fuller, O.D.
• Eva Funches, CSFA
• Jessica Fuqua, NP-C
• Charles Benjamin Furlan Jr., MD
• Stephanie Fussell, M.D.
• Gaddy Eye Clinic PLLC
• Donald Keith Gaddy, M.D.
• Ira Eugene Gaddy III, MD
• James H Gaddy Jr., M.D.
• Kathrine Ione Gaddy, CWHNP

• Community/Retail Pharmacy in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.