GM Medical Services LLC

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PHRE009936 Issued in GA

Legal business name

GM MEDICAL SERVICES LLC

Practice address

1769 Candler Rd
Decatur, GA 30032-3276

Phone

(678) 705-5283

Fax

(678) 973-0237

NPI assigned

Jul 15, 2013

Organization subpart

No

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

Authorized official

Name

George Doe

Title

Owner

Phone

(404) 549-2526

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Candler Pharmacy Doing business as

Tax ID family

GM Medical Services LLC3 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.

• GM Medical Services, LLC

  • Family Nurse Practitioner
  • Atlanta, GA
  • NPI 1750705463
  NPD tax ID
• MLK Urgent Care

  • Urgent Care Clinic/Center
  • Atlanta, GA
  • NPI 1346654209
  NPD tax ID

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1548601982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1769 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323276",
            "telephone_number": "678-705-5283",
            "fax_number": "678-973-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1769 CANDLER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300323276",
            "telephone_number": "678-705-5283",
            "fax_number": "678-973-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GM MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "DOE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-549-2526"
    },
    "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": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "GA",
            "license": "PHRE009936",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141117",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Candler Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Subrena Ann Glenn
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• Glenwood Operating Company LLC
• Robert Jay Glick, MA
• Tankia Glover, OTR/L
• Justina Adele Gniot
• Leigh Caroline Gobbel, L.C.S.W.
• Mark Tilden Gobbel, D.M.D.
• Amy Ellen Goch, PH.D.
• God'S Helper'S Private Home Care, LLC

• Clinic Pharmacy in Decatur, GA
• Providers in Decatur, GA by specialty
• Clinic Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.