G & M of Oxford, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1386-1GO Issued in MS

Legal business name

G & M OF OXFORD, INC

Doing business as

G & M Pharmacy

Practice address

2159 S Lamar Blvd
Oxford, MS 38655

Phone

(662) 236-2222

Fax

(662) 236-2213

NPI assigned

Dec 6, 2006

Last updated

May 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Weston Humphreys

Title

Operations Manager

Phone

(662) 236-2222

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• G & M Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Tax ID family

G and M Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• G & M of Oxford, Inc

  dba G and M Pharmacy LTC

  • Long Term Care Pharmacy
  • Oxford, MS
  • NPI 1295300564
  NPD tax ID
• G and M Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Oxford, MS
  • NPI 1215195045
  NPD tax ID

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1336207661",
    "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": "38655",
            "telephone_number": "662-236-2222",
            "fax_number": "662-236-2213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & M OF OXFORD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A",
        "authorized_official_last_name": "HUMPHREYS",
        "authorized_official_first_name": "WESTON",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "662-236-2222"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "1386-1GO",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00030013",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP NUMBER",
            "identifier": "2511283",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "G & M Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Michelle Fryery, NP
• 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 and M Pharmacy
• Barbara Michelle Gage, MA, CCC-SLP
• Haley Paige Matkins Gaines, DPT
• Lauren Gaines, FNP
• Lashaundra Denise Gale, LSW

• Community/Retail Pharmacy in Oxford, MS
• Providers in Oxford, 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 May 13, 2021; 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.