Gpmo, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004527 Issued in MO

Legal business name

GPMO, INC

Doing business as

Grand Pharmacy

Practice address

733 Grand Ave
Hannibal, MO 63401

Phone

(573) 221-2792

Fax

(573) 221-4468

NPI assigned

Nov 15, 2006

Last updated

Jul 1, 2024By 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

Gregory Yates Gilmore, R.PH.NPI 1336446764

Title

Owner/Pharmacist

Phone

(573) 221-2792

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Grand Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Tax ID family

Gpmo Inc3 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.

• Gpmo, Inc

  dba Grand Pharmacy Ralls County

  • Community/Retail Pharmacy
  • Center, MO
  • NPI 1093307761
  NPD tax ID
• Gpmo, Inc

  dba Grand Pharmacy LTC at Home

  • Long Term Care Pharmacy
  • Hannibal, MO
  • NPI 1568200970
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gregory Gilmore, R. PH.

  • Pharmacist
  • Hannibal, MO
  • NPI 1336446764
  Authorized official Same address or phone

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719792000000",
    "number": "1477625267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 GRAND AVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "573-221-2792",
            "fax_number": "573-221-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 GRAND AVE",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "63401",
            "telephone_number": "573-221-2792",
            "fax_number": "573-221-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GPMO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "YATES",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "573-221-2792",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "004527",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050666",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "602201303",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Richie Gopal Goriparthi, MD, MSC
• Gosney LTC (Gosney Long Term Care)
• Gosney Pharmacy Inc
• Caleb Gosney
• Candice Renee Gottman, RN
• Gpmo, Inc (Grand Pharmacy LTC at Home)
• Alex H Graham, DNAP, CRNA
• Courtney R Graham, CRNA
• Michelle L Gray, CNP
• Andrew Greening, LCSW

• Community/Retail Pharmacy in Hannibal, MO
• Providers in Hannibal, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.