Active NPI
G and M Pharmacy
- Durable Medical Equipment & Medical Supplies
- Oxford, MS
National Provider Identifier
1215195045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 13861GO
- Legal business name
- G AND M PHARMACY
- Practice address
- 2159 S Lamar Blvd
Oxford, MS 38655-5223 - Phone
- (662) 236-2222
- Fax
- (662) 236-2213
- NPI assigned
- May 29, 2008
- Last updated
- Jun 18, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Connie Robertson Wamble
- Title
- CPHT Manager
- Phone
- (662) 236-2222
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 13861GO | MS | Primary |
Addresses
Primary practice location
2159 S Lamar Blvd
Oxford, MS 38655-5223
Mailing address
2159 S Lamar Blvd
Oxford, MS 38655-5223
Phone (662) 236-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00440904 | Medicaid | MS |
National Provider Directory
National Provider Directory- Tax ID family
- G and M Pharmacy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213747200000",
"number": "1215195045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2159 S LAMAR BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555223",
"telephone_number": "662-236-2222",
"fax_number": "662-236-2213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2159 S LAMAR BLVD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386555223",
"telephone_number": "662-236-2222",
"fax_number": "662-236-2213"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G AND M PHARMACY",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-29",
"last_updated": "2008-06-18",
"status": "A",
"authorized_official_last_name": "WAMBLE",
"authorized_official_first_name": "CONNIE",
"authorized_official_middle_name": "ROBERTSON",
"authorized_official_title_or_position": "CPHT MANAGER",
"authorized_official_telephone_number": "662-236-2222",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "13861GO",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00440904",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MS
- Amber Fuller, M.A.
- Dene M. Fulton, P.T.
- Michael G Fulton, P. T.
- G & M of Oxford, Inc (G and M Pharmacy LTC)
- G & M of Oxford, Inc (G & M Pharmacy)
- Barbara Michelle Gage, MA, CCC-SLP
- Haley Paige Matkins Gaines, DPT
- Lauren Gaines, FNP
- Lashaundra Denise Gale, LSW
- Lauren Elizabeth Gallagher, P-CMHT, P-LPC, M.ED.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.