G & R Supply LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

G & R SUPPLY LLC

Practice address

4200 NW 16TH St Ste 205
Lauderhill, FL 33313-5835

Phone

(954) 406-7338

Fax

(954) 406-7319

NPI assigned

Mar 11, 2024

Organization subpart

No

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

Authorized official

Name

Odalys Gomez

Title

President

Phone

(954) 406-7338

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710115200000",
    "number": "1861250177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 NW 16TH ST STE 205",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135835",
            "telephone_number": "954-406-7338",
            "fax_number": "954-406-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NW 16TH ST STE 205",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135835",
            "telephone_number": "954-406-7338",
            "fax_number": "954-406-7319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G & R SUPPLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ODALYS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-406-7338"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.