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GRAND PHARMACY
NPI 1477625267
Pharmacy - Community/Retail Pharmacy in Hannibal, MO

Active since November 15, 2006CLIA 26D2276571 · Waiver
733 GRAND AVE, HANNIBAL, MO 63401(573) 221-2792(573) 221-4468 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2024, Dec 13, 2018 (2 updates tracked since 2018).

About Grand Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRAND PHARMACY (NPI 1477625267) is a healthcare organization registered as a community/retail pharmacy in Hannibal, Missouri and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 9, 2027 and lists Gregory Yates Gilmore, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1477625267
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGPMO, INC
Location Address733 GRAND AVEHannibal, MO 63401
Mailing Address733 Grand AveHannibal, MO 63401 · (573) 221-2792 · Fax (573) 221-4468
Phone(573) 221-2792
Fax(573) 221-4468
Organization SubpartNo
Authorized OfficialGregory Yates GilmoreOwner/pharmacist · (573) 221-2792
Enumeration DateNovember 15, 2006
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1477625267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 004527
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
733 GRAND AVE, Hannibal, MO 63401
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Other Names 1

Doing Business AsGrand Pharmacy

Other Identifiers 2

Medicaid602201303MO
Other2050666Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2276571

Grand Pharmacy · Hannibal, MO
Active · expires Feb 9, 2027
CLIA Number26D2276571
Laboratory TypePharmacy
Certificate Effective DateFebruary 10, 2025
Certificate Expiration DateFebruary 9, 2027
Laboratory DirectorGreg Gilmore
Laboratory Phone(573) 221-2792
Laboratory LocationGrand Pharmacy733 Grand Ave, Hannibal, MO 63401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
121 services121 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
91 services91 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
16 services15 patients

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREGORY GILMORE R. PH.
Pharmacist
733 GRAND AVE
HANNIBAL, MO 63401
Marion County (573) 221-2792
KYLE STRANGE
Pharmacist
733 GRAND AVE
HANNIBAL, MO 63401
Marion County (573) 221-2792
GPMO, INC
Pharmacy (Long Term Care Pharmacy)
733 GRAND AVE
HANNIBAL, MO 63401
Marion County (573) 221-2792
BRIDGET ELLERMAN-BEATY PHARMD
Pharmacist
733 GRAND AVE
HANNIBAL, MO 63401
Marion County (573) 221-2792

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gpmo, Inc's NPI number?

The NPI number for Gpmo, Inc is 1477625267. It was assigned to this organization in the NPPES registry on November 15, 2006. The provider is doing business as Grand Pharmacy.

Where is Gpmo, Inc located?

Gpmo, Inc is located at 733 Grand Ave, Hannibal, MO 63401. The listed phone number is (573) 221-2792.

What is Gpmo, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Gpmo, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2276571) is associated with this NPI, valid through February 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Gpmo, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 50 other insurers list Gpmo, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gpmo, Inc was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.