G.R.C. Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5553 Issued in GA

Legal business name

G.R.C. INC.

Doing business as

Rudys Hospital Pharmacy

Practice address

1802 Lee Ave
Tifton, GA 31794-3639

Phone

(229) 382-8621

Fax

(229) 382-1041

NPI assigned

Nov 25, 2006

Last updated

Feb 12, 2008By 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

Guy CoxNPI 1164560223

Title

Sect

Phone

(229) 382-8621

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Rudys Hospital Pharmacy Doing business as

Locations

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.

• Guy Henry Cox, RPH

  • Pharmacist
  • Tifton, GA
  • NPI 1164560223
  NPD (past) Authorized official

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

{
    "created_epoch": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1659447431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 LEE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943639",
            "telephone_number": "229-382-8621",
            "fax_number": "229-382-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 LEE AVE",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317943639",
            "telephone_number": "229-382-8621",
            "fax_number": "229-382-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G.R.C. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "SECT",
        "authorized_official_telephone_number": "229-382-8621"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "5553",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "5553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1114963",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00453395A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rudys Hospital Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Scott Robison Fulp, D.M.D.
• Sonya Dunn Fulp, DC
• Terri Jeaniene Funk, MFT
• Miranda Furgerson
• Courtlyn Christanna Fussell, RPH
• Donna B Galliano, NP-C
• Enrique Galliano, MD
• Peter J Gambino, D.O.
• Melissa J Gambrill
• Jennifer Ganas, M.ED.,CCC-SLP

• Community/Retail Pharmacy in Tifton, GA
• Providers in Tifton, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.