G & C Diabetic Supply

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

G & C DIABETIC SUPPLY

Practice address

1300 Virginia Ave
Fairmont, WV 26554-3659

Phone

(304) 367-1241

Fax

(304) 363-6758

NPI assigned

Oct 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Gregory N Pratt

Title

Owner

Phone

(304) 838-4674

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1417100355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 VIRGINIA AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543659",
            "telephone_number": "304-367-1241",
            "fax_number": "304-363-6758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 VIRGINIA AVE",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265543659",
            "telephone_number": "304-367-1241",
            "fax_number": "304-363-6758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & C DIABETIC SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-838-4674",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Fultineer
• Gracie Fultineer
• Robert Clinton Funk II, LICSW
• Connie S Funovitz
• Mary Furrow
• Frederick J Gabriele, MD
• Sherri Gallo
• Afra Ahsan Gangi, MD
• Melissa Garcia Webb, MSW, LGSW
• Cynthia Garcia

• Durable Medical Equipment & Medical Supplies in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Durable Medical Equipment & Medical Supplies in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.