Active NPI
Gpmo, Inc
Doing business as Grand Pharmacy LTC at Home
- Long Term Care Pharmacy
- Hannibal, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- GPMO, INC
- Doing business as
- Grand Pharmacy LTC at Home
- Practice address
- 733 Grand Ave
Hannibal, MO 63401-3183 - Phone
- (573) 221-2792
- Fax
- (573) 221-4468
- NPI assigned
- Jul 18, 2024
- Last updated
- Jul 18, 2024
- Organization subpart
- Yes
- Parent organization
- GPMO, INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Gilmore, PHARMD
- Title
- Pharmacist/Owner
- Phone
- (573) 822-1896
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
733 Grand Ave
Hannibal, MO 63401-3183
Mailing address
733 Grand Ave
Hannibal, MO 63401-3183
Phone (573) 221-2792
Other names 1
- Grand Pharmacy LTC at Home
National Provider Directory
National Provider Directory- Tax ID family
- Gpmo Inc
- Part of
- Gpmo Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Hannibal, MO
- NPI 1336446764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1568200970",
"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": "634013183",
"telephone_number": "573-221-2792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "733 GRAND AVE",
"city": "HANNIBAL",
"state": "MO",
"postal_code": "634013183",
"telephone_number": "573-221-2792",
"fax_number": "573-221-4468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GPMO, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "GPMO, INC",
"enumeration_date": "2024-07-18",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "GILMORE",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "PHARMACIST/OWNER",
"authorized_official_telephone_number": "573-822-1896",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Grand Pharmacy LTC at Home",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hannibal, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.