GFJ Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2-6087 Issued in OK

Legal business name

GFJ INC

Practice address

1030 E Lansing St
Broken Arrow, OK 74012-2073

Phone

(918) 251-3784

Fax

(918) 294-1004

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Todd Pendergraft

Title

President

Phone

(918) 451-3784

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• Broken Arrow Family Drug North Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Burris

  • Pharmacist
  • Broken Arrow, OK
  • NPI 1912464389
  NPD (past)

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575244800000",
    "number": "1386997948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3359 S ELM PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127924",
            "telephone_number": "918-451-3784",
            "fax_number": "918-451-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 E LANSING ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740122073",
            "telephone_number": "918-251-3784",
            "fax_number": "918-294-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GFJ INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2019-12-02",
        "status": "A",
        "authorized_official_last_name": "PENDERGRAFT",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "918-451-3784"
    },
    "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": "OK",
            "license": "2-6087",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137360",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100812690D",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broken Arrow Family Drug North",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Broken Arrow Family Drug North",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle Marie Gerdom
• Robyn Gertner
• Katherine Jaynes Getchell, APRN
• GFJ Inc
• GFJ Inc
• Joseph Ghazal
• Stacy Lee Gibbs, LPC
• Amy Louise Gilbert
• Jennifer Leigh Gilbert
• Lawrence Loran Gilbert, LPC LADC

• Community/Retail Pharmacy in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Community/Retail Pharmacy in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.