Gdme Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264322 Issued in MN

Legal business name

GDME INC

Practice address

304 N Pokegama Ave
Grand Rapids, MN 55744

Phone

(218) 326-2635

Fax

(218) 326-2526

NPI assigned

Jun 13, 2006

Organization subpart

No

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

Authorized official

Name

Michael Allen Brandt, RPHNPI 1093827990

Title

RPH/President

Phone

(218) 360-1112

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Globe Drug and Medical Equipment Doing business as

Locations

Practitioners 2

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

• Michael Allen Brandt, RPH

  • Pharmacist
  • Grand Rapids, MN
  • NPI 1093827990
  NPD (past) Authorized official
• Lisa Ann Brandt, RPH

  • Pharmacist
  • Grand Rapids, MN
  • NPI 1811007008
  NPD (past)

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1477595254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-2635",
            "fax_number": "218-326-2526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N POKEGAMA AVE",
            "city": "GRAND RAPIDS",
            "state": "MN",
            "postal_code": "55744",
            "telephone_number": "218-326-2635",
            "fax_number": "218-326-2526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GDME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "BRANDT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "RPH/PRESIDENT",
        "authorized_official_telephone_number": "218-360-1112",
        "authorized_official_credential": "RPH"
    },
    "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": "MN",
            "license": "264322",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144052",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Globe Drug and Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Gaffney, RN, C. LPC
• Thomas A Gagnon, LADC
• Justin Gambill, PSYD, LP
• Garden Court Chateau LLC
• Haylee Garsow, LADC, LSW
• Kimberly Joan Geislinger, LADC
• Scott Gerling, MD
• Jonathan James Germscheid, M.D.
• Gessell Chiropractic, PLLC
• Jackson Gessell

• Community/Retail Pharmacy in Grand Rapids, MN
• Providers in Grand Rapids, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2015; 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.