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Gdr, Inc

Community/Retail Pharmacy in Tchula, MS · enumerated 2007 · authorized official Glenn Roberts, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1013053842

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Registry record

Entity type Organization (Type 2)
Legal business name Gdr, Inc
Other name <Unavail>
Practice address 112 Mercer Street, Tchula, MS, 39169
Fax (662) 235-4301
Enumeration date Jan 29, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

3336C0003X Community/Retail Pharmacy Suppliers · License 01455 (MS) Primary

Authorized official

Name Glenn Roberts
Title President

Other identifiers

Identifier Type State Issuer
00330361 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Gdr, Inc located?
The practice location on file with NPPES is in Tchula, MS.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.