Organization Active NPI

Gilmer Drug Company

  • Community/Retail Pharmacy
  • Gilmer, TX
National Provider Identifier
1902947849
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
06819 Issued in TX
Legal business name
GILMER DRUG COMPANY
Practice address
112 Davis St
Gilmer, TX 75644-2210
Phone
(903) 843-5631
Fax
(903) 843-5603
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Bob Bates
Title
Pharmacist
Phone
(903) 843-5631

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 06819 TX Primary

Addresses

Primary practice location

112 Davis St
Gilmer, TX 75644-2210

Mailing address

112 Davis St
Gilmer, TX 75644-2210
Phone (903) 843-5631

National Provider Directory

National Provider Directory

Locations

112 Davis St
Gilmer, TX 75644
Phone (903) 843-5631

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902947849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 DAVIS ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442210",
            "telephone_number": "903-843-5631",
            "fax_number": "903-843-5603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 DAVIS ST",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756442210",
            "telephone_number": "903-843-5631",
            "fax_number": "903-843-5603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILMER DRUG COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "BOB",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "903-843-5631"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "06819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilmer, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.