GNL Merchandising

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

GNL MERCHANDISING

Practice address

327 Derby St
Pekin, IL 61554-5651

Phone

(309) 241-5315

Fax

(309) 346-1281

NPI assigned

Sep 17, 2009

Organization subpart

No

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

Authorized official

Name

Lola Holcomb

Title

Owner

Phone

(309) 241-5315

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253145600000",
    "number": "1801129150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "327 DERBY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545651",
            "telephone_number": "309-241-5315",
            "fax_number": "309-346-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "327 DERBY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545651",
            "telephone_number": "309-241-5315",
            "fax_number": "309-346-1281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GNL MERCHANDISING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-17",
        "last_updated": "2009-09-17",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "LOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-241-5315"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• GK Enterprise LLC
• Melissa Marie Glass, APRN-FPA
• Brian Glesne, D.M.D
• Kurt Larson Glesne, D.P.M.
• Mark Evan Glesne, DDS
• Hassan Golchini, MD
• Leora M Gomez
• Stacy R Good, DPT
• William Gould
• Jacie Graber

• Durable Medical Equipment & Medical Supplies in Pekin, IL
• Providers in Pekin, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.